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The most important sign is your breasts don't look like they used to. I mean that's easy, and there's a lot of things that I look at with respect to secondary breast revision. Your breasts change as you age. Your breasts also change as well too after pregnancy, so if you've had breast implants in your '20s or '30s, there's a good chance that as you age, that your breast tissue may change over the implants, and you may need to look at changing out the implants. You may want to change to a different size. You may have fold abnormalities. In other words, one fold is a little lower, okay, or more lateral than the other. Patients may develop excessive scar tissue called capsular contracture, or they may have just received a result that they've never been happy with. And with the rise of more and more unexperienced physicians and not necessarily the surgeons performing breast augmentation surgery, unfortunately we're seeing uptick in demand for secondary breast revision.