Patient had a subglandgular breast procedure at another office and presented with extreme contraction and distortion. First stage was implant removal. Second stage was breast augmentation, mastopexy and axillary liposuction. 3rd stage was a subsequent revision with capsulotomies and fat transfer to left breast. Submuscular saline implants, left 600cc filled to 680cc, right 600cc filled to 780cc, 20cc of fat transferred to left. Photos show 4 years post op.