Hi, I’m Larry Schlesinger and I’m a board-certified plastic surgeon from Honolulu, Hawaii. And today’s question is “What are the reasons for breast augmentation revision?” The obvious answer is not having exactly what the patient was hoping for. So, the implant could be too big or too small. It could be malpositioned like implant fallout or where it falls to the side. It could be above the muscle when they really wanted that below-the-muscle look. The implant could be tear dropped and the tear drop implants; I don’t care what anybody says, they rotate. I know that because I put them in and I’ve taken them out. For any other number of reasons but the bottom line is if the implants don’t look like the patient anticipated, very often this leads to a revision. So, what’s very important in the preoperative discussion with the patient, at least what I do, and as far as I know, what most plastic surgeons do, is try and give an explanation of everything about that patient’s breasts which could then lead to them not getting what they were hoping for. Everything you tell a patient beforehand is an explanation. Everything you tell somebody afterward is an excuse. I’ve had plastic surgery. I prefer explanations to excuses. I’m Larry Schlesinger, a board certified plastic surgeon from Honolulu, Hawaii. Thank you very much.