35 y/o , 164 cm/ 50 kg
MtF , 5+history, IMF total sub-M(op),Mentor Round textured gel 225 cc

Pre-op
1. Breast asymmetry
2. Fixed implant, supmalposition
3. Wide cleavage
4. Request bigger breasts
OP :
(1)Adequate PM release
(2)Dual plane II, lower pole scoring
(3)Motiva implant exchange