This patient presented to me with a common problem: an incomplete (or failed attempt) at correction of tuberous or constricted breast hypoplasia.
Her implants were originally placed (by someone else) over the muscle and she still showed the double bubble of constricted breast fold, and hallmark pointy, triangular, cone-shaped breasts.
I removed the implants, created a new pocket under the muscle, and added allograft support. I also did a circumareola lift and release of constriction and lastly placed new implants.
Now a beautifully attractive full D cup outcome.