This 56 year old woman had breast implants in place for more than 20 years and presents with severe bilateral periprosthetic capsular contracture. Her breasts are spherically deformed, firm and tender. She underwent bilateral explantation, capsulectomy and conversion of subglandular implants to the subpectoral position. A new pair of 375 cc Moderate Profile Plus silicone gel filled breast implants were inserted under the pectoral muscle. Her postoperative result is seen nine months following the corrective surgery.