This 51 year old woman has had multiple previous breast implant procedures and experienced a variety of different complications. At the time she presented, she had breast asymmetry, capsular contracture on both sides, distortion of both nipple and areolar complexes and a subtle “double bubble” on the left side. The patient underwent revision surgery consisting of removal of her implants, capsulectomies. reconfiguration of the pocket, insertion of a Strattice ADM graft on the left side and insertion of a new pair of 300 cc Moderate Profile Plus round silicone gel filled breast implants. The patient’s postoperative result is shown six months after surgery at which time it is noted that she had complete correction of capsular contracture, much better symmetry and improvement of the aesthetics of the nipple areolar complex.