not-yet-known not-yet-known not-yet-known unknown Breast augmentation is the most popular aesthetic procedure in the United Kingdom.1 With more than half a million of the population in the United Kingdom having a CIED2, a higher number of female patients are expected to require both a CIED and breast augmentation or reconstruction procedure. These procedures involve the same anatomy and clinicians with specialist expertise in both CIEDs and breast surgery need to be aware of the potential challenges of managing such patients.