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Is it possible with surgery that I could achieve a round perky look? Best steps to take? (Photos)

Hi, i had surgery around 5-6 years ago. I had lost a lot of weight and left and decided to go with a lift and implants - i had a breast lift and implants (mentor moderate plus) around 425 cc pretty quickly I noticed more of a long enlogaged boob shape rather then round and perky. I believe that I Possibly have capsular also as one feel hard compared to the other. Is it possible with surgery I could achieve a round perky look? I don’t like how high up they sit on my chest - but they was placed under the muscle . I’ve Been advised by a doctor to have removal & lift and around 400 cc moderate plus profile texture placed but im just dreading round two.. do I seek more options ? what are your thoughts

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