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Welcome to the consultation room with Dr. Tyler Frew, board-certified plastic surgeon at Balikian Plastic Surgery. In this educational video, Dr. Frew discusses a real consultation focused on breast augmentation revision and explains what happens when implants begin to drop or lose support over time. This patient underwent breast augmentation surgery several years ago and noticed subtle changes in her shape. Dr. Frew explains how implant position, scar placement, and breast pocket integrity influence long-term results, symmetry, and contour. In this case, one implant has dropped slightly below the natural crease—a condition known as bottoming out. This issue can cause unevenness between the breasts and change the overall aesthetic balance. To correct this, Dr. Frew outlines his approach to breast implant revision surgery, describing how he re-enters through the existing incision, removes the implant, reshapes and reinforces the pocket, and may use dissolvable mesh or permanent sutures to restore internal support. The objective is to rebuild the foundation, improve upper fullness, and achieve a natural, symmetrical breast contour that fits the patient’s anatomy. Each revision is customized to the individual. Through precise surgical planning and an emphasis on structure rather than size alone, patients can often enjoy more durable and aesthetically refined outcomes. This video is intended for educational purposes only and contains no nudity or graphic surgical footage. Subscribe to Balikian Plastic Surgery to learn more about breast augmentation, implant revision, and how board-certified plastic surgeon Dr. Tyler Frew helps patients restore balance and confidence through advanced surgical techniques. #BreastAugmentation #BreastSurgery #PlasticSurgeryEducation #PlasticSurgeon #CosmeticSurgery #BreastImplants ----- BALIKIAN PLASTIC SURGERY https://DrBalikian.com TEMECULA VALLEY https://www.drbalikian.com/contact-fa... 951-719-2950 25220 Hancock Ave STE 115, Murrieta, CA 92562 SAN DIEGO https://www.drbalikiansandiego.com/co... 858-230-8938 1431 Camino Del Mar, Del Mar, CA 92014 ----- LEARN MORE ABOUT BREAST PROCEDURES https://www.drbalikian.com/breast-pro... LEARN MORE ABOUT BOARD CERTIFIED PLASTIC SURGEON DR. TYLER FREW https://www.drbalikian.com/tyler-frew...