Notes: Removal of both 400 cc saline implants and replacement with new 400 cc saline implants, addition of Surgimend (acellular dermal matrix) as an internal bra for support of the implant position and to help prevent recurrent capsular contracture; bilateral mastopexy (breast lift). Note that there was no change in implant size, but the breasts appear softer and a little smaller, since they now have a natural shape and aren’t misshapen from capsular contracture. Also note that the nipples appear more symmetric, now that the implants are more symmetric.