This 44 year old woman, who has had multiple prior breast implant procedures, including breast augmentation, capsulotomies for contracture and bilateral Benelli or circumareolar mastopexies, presents with severe breast deformity. The right breast is characterized by Baker grade 3 capsular contracture with a high-riding appearance. The left breast has a subtle “double bubble deformity” as well as an abnormal configuration. The patient’s circumareolar scars are very visible. Her corrective surgery consisted of removal of the implants, capsulectomies, reconfiguration of the pocket, insertion of a new pair of 275 cc Moderate Profile Plus silicone gel filled breast implants and bilateral Benelli or circumareolar mastopexies. Her postoperative result at one year reveals pleasing improvement in the contour of the breasts, improved symmetry and better aesthetics of the nipple and areola.