In breast rejuvenation women there needs to be a consideration of the breast volume and the breast shape. Where the nipple sits low a lift or a mastopexy is often a better choice than breast augmentation. Anatomical implants with high projection can be used to elevate the nipple as in this case and can avoid the need for a lift with the resultant scars. Patients do need to be aware that there is a limit to how the nipple will be lifted and that with time they may need to have a formal lift. A good result from breast augmentation however can be obtained using high projected anatomical implants as in this case.