48 yo F presented after undergoing bilateral augmentation by another surgeon who complained of right breast deflation with left breast double bubble deformity. She underwent bilateral breast implant exchange with correction of the left double bubble deformity. The augmentation was performed with placement of 475 cc on the left and 425 cc on the right with Mentor silicone round smooth moderate plus implants. They were placed via inframammary fold incisions and under the pec. muscle.