Where a breast footplate sits low on the chest the best way to try and address this is to use a tall height breast implant to give back the appearance that the breast starts higher on the chest. An anatomical implant has a gentle slope at the upper pole to prevent palpability in this area. Where the nipples sit low and the lower pole is empty an anatomical implant allows the lower pole to be filled and allows the nipple to be elevated. The one concern of this approach is the development of a double bubble effect and during surgery the pocket needs to be developed and secured to keep the implants at the desired level on the chest wall.