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Breast lift with implant replacement - will I need a two stage procedure?

blossomtrees82
I have 8 year old textured silicone implants and I should have had a lift at that time but the Dr. said I could go without it. I knew right after the surgery that was a mistake. Now 8 years later and a pregnancy, I have a horrible situation where it seems like my own breast has shifted down off of the implant. I want a lift (&areola reduction)+saline implants as replacements. Could this be done at the same time? I have read sometimes you need to do it in two surgeries?

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