Markings like these often are made by plastic surgeons in pre-opt appointments to indicate their surgery plan. This woman, who has experienced continued problems three years after a double mastectomy with silicone implant reconstruction, recently underwent an implant exchange procedure. Her doctor told her that her implants had flipped upside down, causing them to get painful, rock-hard and wrinkled. We need your help to finish this book; you can contribute with this quick link: