This 45-year-old woman from Marion, Ohio had a saline breast augmentation in previous years. She heard of Dr. Bivik Shah here at the Columbus Institute of Plastic Surgery and his vast experience so she scheduled her consultation right away. Looking to upgrade her implant style and size he described to her that an implant exchange, would ultimately achieve what she was looking for. Together they decided on 600 cc silicone implants. She is shown here before and 4 months after surgery.