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CASE DESCRIPTION: San Francisco, California – A 47-year-old mother of two and resident of San Francisco, California who presents to the Marin County office for breast revision surgery. She underwent a vertical breast lift and normal saline implants approximately 10 years ago. From the photos one can note how the skin droops from the breast implants. This is a common occurrence with women who have had children and have breastfed, and the skin is now stretched but the breast implant maintains its normal position. She underwent a second vertical breast lift with removal of the normal saline implants and placement of 360cc high-profile Mentor silicone breast implants. Her photographs are seen approximately six months after surgery. Her surgery was performed at Dr. Delgado’s private Marin Cosmetic Surgery Center in Novato, Marin County, California