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Before The patient underwent bilateral sub muscular breast augmentation .She exercises frequently and is very uncomfortable with the tension placed by muscle especially on contraction.The right implant has become firm and elevates excessively on muscle contraction. After A corrective procedure was performed by removing the gel implants. The muscle was returned to its original position ,and a new subfascial pocket created. Moderate plus silicone gel implants were placed in the new pocket The patient feels much more comfortable and has no abnormal muscle contracture.

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