36 y/o , 158 cm/ 45 kg, G0P0 
8 yr history, TAA sub-M, Allergan smooth saline 240cc

Pre-OP :
1. Breast & IMF asymmetry
2. Bil. CC II with superior malposition and downward nipples
3. Wide, fixed cleavage & Wrinkling, med & upper poles
Op :
(1)Neo-subpectoral pocket dissection
(2)Lower pole scoring
(3)Motiva implant exchange