This is a 56-year-old woman who is interested in a breast lift, implant removal, and brachioplasty. She had originally undergone breast augmentation a decade previously. She felt that her breasts were too large, and she was unhappy with the laxity in her arms. The patient underwent bilateral breast implant removal and breast lift along with brachioplasty. Postoperatively, she was very happy with her result. Her scar was located posteromedially and was not visible significantly anteriorly or with her arms in the adducted position.