65 yo with history of BRCA and prophylactic mastectomy with under the muscle implant reconstruction. Presented to Dr. Dumestre 8 years later unhappy with animation from under the muscle position, and shape of breasts. Photos: Before; 1 year after implant exchange (800cc high profile silicone implant) and repositioning to above the muscle position, lift, and liposuction contouring of chest sides with fat transfer to breasts for contour