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Patient is a lovely 49 yo woman who had small, silicone implants placed many years ago and wears only a B-cup bra size. She now desires a much fuller D/DD-cup size and chose the Sientra brand of highly-cohesive silicone gels- she underwent Removal of old, 286 cc MP Gels; Pocket Revisions & Replacements with fuller Sientra, 620 cc HP Gels and is now thrilled with her desired look!