This young Mom told us that she had never developed much breast tissue, and when she was 19 years old, she realized that she probably never would. Therefore, a few days before her 20th birthday, Dr. Nachbar performed breast augmentation using 350 cc saline implants. She went on to build a family, and had two children. About 15 years later, she was concerned that these implants were 15 years old, and also wanted a somewhat larger breast size. Dr. Nachbar told her that, if she remained happy about her implants, she did not need to change them. However, because she wanted a larger breast size and also wanted to change her implants to the silicone gel type, Dr. Nachbar performed a breast implant exchange to 492 cc silicone gel implants.