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Your implants can also simply wear out. It used to be that the lifespan of an implant was about a decade. While that is no longer the case and the new gel implants are lasting much longer, they won’t last forever. And lastly, the size and shape of an implant that you might have wanted at 20 may be very different than what you are going to want at 40. SURGICAL CHALLENGES GOING FROM LARGE TO SMALL IMPLANT One of the trends that Dr. Restifo is seeing among his patients is the death of the very large implant. Most of his breast revision patients are “downsizing” their breast implant as they age, which can present certain surgical challenges. “Sometimes when going from a larger size to a smaller size… you are left with a little bit of excess skin or hanging tissue and sometimes it’s necessary to tighten that skin,” explains Restifo. This is done with a breast lift. The excess skin is removed and the entire breast is lifted to a higher point on the chest, and the incision is typically placed either around the areola or under the crease of the breast. Along with the new implant, this delivers a more youthful looking contour to the entire torso. Full article: http://www.theplasticsurgerychannel.c... Follow The Plastic Surgery Channel on Twitter: / pschannel Follow The Plastic Surgery Channel on Facebook: / theplasticsurgerychannel