Preoperative (A, D, G), 6-month postoperative (B, E, H), and 1.5-year postoperative (C, F, I) photographs of a 37-year-old female patient treated with a staged augmentation-mastopexy. In the first stage, a mastopexy was performed utilizing a central mound pedicle and a Wise pattern skin excision. P4HB was placed subcutaneously in the lower pole. Six-month postoperative photographs (B, E, H) were taken before planned staged augmentation. Bilateral breast augmentation utilized 397-cc silicone implants placed in a dual-plane pocket. P4HB, poly-4-hydroxybutyrate.