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Pros: Most precise implant placement Compatible with all implant types and sizes Lower complication rates overall Easier to access for revision surgery if needed Cons: A scar is present under the breast, though usually concealed Best for: First-time augmentation patients, those choosing larger implants, and patients wanting reliable precision and long-term revision access

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This is not the case in cirrhotic patients where GH levels in serum were reported to be elevated (237) as the GH secretion rate was found to be increased (241)

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