This Scottsdale, AZ patient had saline implants that were over 10 years old.  She desired larger implants which rippled less and desired her nipples be situated “perfectly” symmetrical as her right nipple was slightly lower and this showed in tee shirts.  Her implants had also migrated toward her feet over the years and she wanted this corrected.  She underwent exchange to Highly Cohesive Gel implants, internal bra procedure to reposition her implants higher on her chest wall and a donut mastopexy on her right to raise that nipple and create more symmetry. She states she couldn’t be any more happy with her results!