This 47-year-old mother had lost over 100 lbs, resulting in severe deflation of her breasts and a significant change in shape and nipple position. She was interested in improving her shape and nipple position, while trying to gain some volume. She was not interested in implants, so Dr. Fisher recommended an extended anchor-style breast lift with auto-augmentation: An advanced technique where redundant breast skin and tissue is used to reshape the breast mound.