This 38 year old woman presents with bilateral periprosthetic capsular contracture. She had saline filled implants which had been inserted 20 years before. The patient was treated by implant removal, capsulectomy and insertion of a new pair of subglandular silicone gel filled breast implants. She received 350 cc Moderate Profile Plus round gel filled implants. Her postoperative result is shown 11 months after the corrective surgery.