This 35 year old female disliked the severe sagging of both her breast and nipple position. She wanted to conserve breast volume, so a breast reduction was not a good option of her. She was treated with a vertical mastopexy using a Graf auto-augmentation technique to reposition breast tissue within the breast structure, thus improving breast projection and shape. This advanced breast lift technique has been mastered by the plastic surgeons at Sound Plastic Surgery. Her post op photos were taken six months after surgery and scars have begun to fade into the background. She is delighted with her new breast look.