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Patient is a lovely 65-year-old female who complained of having old, large Mentor silicone gel implants and a large D to DD-cup breast size. She states that she “wants her implants out” and does not wish to have any more replacement implants, and she also desires to become a much smaller B/C-cup size but still have some fullness without a “concave in” deformity of possible. On exam, she had submuscular, intact old implants with superior malposition and waterfall deformities with Grade II Ptosis and wide areolas with asymmetry where her left breast was larger and lower than her right. She is a very good candidate to undergo Bilateral Explantations with my new, Autologous (Dr Q) Breast Tissue Flaps transfer reconstructions into the central cavity to give her pretty volume without the concave-in deformities most notable after explants without replacement implants.