Procedure: Breast Implant Exchange with Mini Lift. Background: This patient presented to the office with concerns regarding the unnatural appearance and shape of her 20 year old, saline breast implants. She desired a more natural, “did she, didn’t she” result, with less ptosis (or sagging) of the breasts. We decided to use a Sientra Silicone Gummy Bear Shaped implant 350cc. This photo was taken 3 mos post procedure.