This 32 year-old health care provider never liked the appearance of her breasts because her nipples have pointed downwards since puberty. She has never been pregnant. Her breast size was adequate, but she wanted a more youthful appearance with nipples that faced forward. She underwent full Wise (anchor) pattern breast lift at Minneapolis Plastic Surgery in our nationally-accredited (AAAASF) on-site outpatient surgical facility. TIVA anesthesia provided a quick, nausea-free wake-up after her 2 hour 40 minute procedure. She was dressed, alert, and sipping a soda upon discharge from our facility just one hour after the end of her surgery.