5 years post op after an augmentation by Dr. Case, my multi thousand dollar investments have«bottomed out». I consulted several plastic surgeons in my area and then considered going back to Dr. Case. I called his office to see what could be arranged; I paid in cash for these 5 years ago and have moved out of Tucson since, but I figured as a repeat patient putting her trust once again in the hands of Dr. Case, that special accommodations could be made. I never spoke with Dr. Case, I just got relays from his front desk staff(Gail is incredibly friendly, btw) but in a nutshell, Dr. Case said that my «issue» was due to 10 lbs of weight loss. After further research and getting additional doctors’ opinions, I have not heard any other doctor say that 10 lbs of weight loss is enough to cause the catastrophe that is my chest as it is now. Simply put, the pockets were malpositioned and I realized this a couple years after the surgery. However when I mentioned it during an annual checkup, Dr Case attributed it to my bone structure. Want proof? See for yourself here: Another thing that I have come to dislike about Dr. Case’s practice is as a 5’4″ petite female, I believe that I should have been warned about the risks in going the size that I did. Years later, I suffer from severe back and neck pain, and the size is also linked to my «bottoming out». They are simply too big for my body, and I would have expected an ethical surgeon to tell me so beforehand. I was 25 when I had the surgery; I did not know it all; I trusted my surgeon implicitly. After my last conversation with Gail, it sounds like Dr. Case(if I were to give him the opportunity to fix my chest) would charge me for removal, reinsertion, and repair of the tissue that his work originally damaged. Easily at least $ 10k. As far as the implants themselves, they offer a great warranty for 10 years but this comes with the implants no matter where you get them done in the United States. If only Dr. Case’s work came with a similar warranty. I can see very very clearly now, why it doesn’t. I have now decided on a PS to correct everything at an incredibly fair price and am kicking myself for not going to that PS to begin with, 5 years ago. Ladies, I urge. no, i BEG you to see multiple doctors before settling on just one. Dr. Case was referred to me by a friend of mine but it is very clear that one size does not fit all(no pun intended)