 Hi everyone, Dr. Saul here in Beverly Hills. We have this fantabulous looking mom. Yes, she's a mom She's in her 30s. She looks fantastic. She's in great shape. Look at the muscles. She's looking great So what are we going to do for her? Her special surgery. She has a umbilical hernia You see how she has an Audi? We're going to make it in any see I'm keep pressing it back in Usually it happens in a couple of ways when you stretch the muscle it could be in when you're working out at The gym and you're bare down too much. It could tear the tissue It could happen with pregnancy as I said, she is a mom of one So it could have happened either way because I know she works out a lot She was fighting me to get back to the gym sooner But of course when you're doing the hernia, you want it to heal before you go and exert because you could Rip the tissue again. So we're going to fix her hernia Then what we're going to do is we're going to go in from the areola go in take out the capsule take out her implant We're going to put in submuscular which is under the muscle bi-planar Two planes and we're going to put in the gummy bear implants, but we're going to upsize her We're going to go up by about 25 30 percent She does have a little bit look at her her skeletal system You could see it comes down midline and goes a little bit to the right comes back to the left So she does have a little bit of bony Difference between the right and the left her ribs on the left side are curved a little bit more on the right They're a little bit flatter. Remember God makes us all differently. We're not symmetrical Reflects of each other the right and the left usually have some differences as in this case But we'll try to accommodate and make it as symmetrical as possible. Remember Cemetery is an illusion. They're sisters. They're never twins. Sometimes they're cousins We're going to get her ready hot girl summer 2022 fix the belly button new breast. Let's get going So our patient has a umbilical hernia And what we're going to do is we're going to go through her belly button and fix that for her So I'm going to make her incision inside of her Oh, she has a little bit of hiccup our anesthesia will stop the hiccup and here we go So we dissected out the capsule here we're taking out the implant Uh Everything is dissected but because we're not doing it through a big incision. I'm going to take out the Implants right now and this is the capsule you could see the capsule right there. She has a Uh implant right here. You could see it's textured. It's not smooth But uh, here we are and here it's out. It's So it's textured. Let's see She's uh from overseas. So I the implants are a overseas implant There it's not allergen or mentor or sientra. So it's an over It's a textured implant from overseas. So we took out the implant. We did a capsule like to me. I took out All the capsule I could even in the posterior wall I had to resuture over here. So look there's a wall here because her implant was going all the way to her axilla Now it's situated right in the middle. So I Did internal suturing all around here to give her back her breast curvature Okay, we finished the case. It was a very difficult case because her implants were textured and had fallen to the side So I did a pocket adjustment I put sutures both on the lateral aspect so it'll medialize the implant give her more cleavage We put in silicone gummy bear under the muscle 485 implants bilaterally and fix her hernia. She's done