In 2019 after she lost weight and experienced more discomfort, a cardiologist and a breast surgeon consultant reviewed jointly her in the clinic. After discussion with the patient, it was decided that she would be best served by a combined procedure to remove the left sided breast implant from its current subpectoral plane and place it prepectoraly, beneath a further layer of acellular dermal matrix; this had the effect of allowing the defibrillator to be sited deeper to the breast implant on top of the pectoralis muscle. The procedure alleviated her discomfort from the device and the patient was pleased with the aesthetic result.