It looks like you had a "bottoming out". This is most common in over the muscle patients. If he's going to do adjustments....i would really ask if you could get it under the muscle. Yes its a more painful and longer recovery but at least you will have the bottom support of your muscle and less complications down the road. I'm only saying this because you should be completly satisfied if paying all that money. They really don't look bad though. Research bottoming out.
Honestly go with saline. I know you already had it done but if it leaks or any problems....it won't be harmful to your health. Silicone has so many risks even while being FDA approved.
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