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After childbirth, many women loose the volume in their breast. It is important during the consultation to determine if that extra skin that is there can be appropriately filled with an implant. If there is too much extra skin, we will have to do something to remove that extra skin either by removing it around the areola with a single incision around the areola and scar or in the more severe cases, we have to make an inverted T and elevate the nipple to a higher position. Again, however, adjustable implants are very important in these situations because that flexibility allows me to put in an implant that can be fine tuned, one with we are dealing with a lot of extra skin and a lot of changes following pregnancy, it is not always easy to anticipate exactly what the right implant is going to be for that patient before the surgery.