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If you have thin skin with stretch marks are implants a bad idea?

Without the benefit of an in personal exam, it is difficult to advise you on the best option.  Most surgeons will give you their opinion based upon their experience with patient outcomes.  When I was new in practice, I routinely recommended to stage breast lift and augmentation surgeries.  Over the years, I have successfully been able to combine the procedures for many patients.  Surgeons always want their patients to have the best possible outcome with the least amount of complications.  After all, these are completely elective procedures.  Good luck!