This 37 year old patient, who previously had breast augmentation, presented with breast asymmetry and capsular contracture on the left side. The left breast was characterized by a high-riding, firm, distorted breast implant. Both breasts were ptotic (droopy), and nipple position was asymmetrical. The patient was treated by explantation of her implants, capsulectomy, conversion to a new subglandular pocket and insertion of a pair of 425 cc Moderate Profile Plus silicone gel filled breast implants. Her postoperative result is shown five months after the corrective surgery.