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Revision needed? I would like to go bigger and have a more rounded look

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I had 450 silicone gummy high profile with lift done April 2018. I would like to go bigger and have a more rounded look. Do I need another lift? Okay to go bigger?

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Paul E. Chasan, MD, FACS profile photo
Dr. Paul E. Chasan, MD, FACS
Board Certified Plastic Surgeon
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Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
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