This 48 year old woman had undergone multiple previous breast implant procedures. She presented with several problems related to her existing implants, including synmastia (loss of normal cleavage with detachment of the skin over the breastbone) and severe waviness and rippling most evident when she leans forward. The correct surgery consisted of a capsulotomy to repair the abnormal medial extent of the periprosthetic pocket, insertion of a Strattice acellular dermal matrix graft to reinforce the repair and insertion of a new pair of 375 cc Moderate Profile Plus silicone gel filled breast implants. Her postoperative result is shown six months after the corrective surgery. There has been correction of the synmastia with restoration of normal cleavage in between the breasts and almost complete resolution of all the waviness and rippling noticeable in the breast when the patient leans forward.