This 57-year-old mother of three underwent bilateral breast augmentation with silicone implants and breast lift over 13 years prior to coming to our office. Upon presentation, she complained about her breast becoming larger and saggy. Additionally, both breasts have become more tender with a constant swelling in her right armpit. As the patient no longer desired to keep her implants, she was offered replacement of implants with her own tissue. She expressed that she would like to maintain breast fullness appropriate for her body frame. Therefore, transfer of patient’s own tissue was conducted relocating 510 ml of fat graft to each breast. In order to harvest fat graft, liposuction of the abdomen was carried out resulting in improvement of her body contour. At 6 months, she is very pleased with her natural results.