This 56 year old woman had undergone breast augmentation (elsewhere) 17 or 18 years previously with textured round saline implants, complicated with capsular contracture on her left side. Her original surgeon re-operated on her left breast several times and eventually improved her result, but over time she again developed Baker 3-4 capsular contracture on her left side, and Baker 2 contracture on her right, giving her the appearance shown in her pre-revision photographs. Besides being unsightly, her breasts were hard and uncomfortable. She came to Minneapolis Plastic Surgery for implant revision. Her saline implants were removed, along with near-complete capsulectomies, and she had new, larger, cohesive silicone implants placed in an outpatient, TIVA (general) anesthesia operation in our nationally-accredited (AAAASF) on-site surgical facility. She had an “easy” recovery (her words) and remained thrilled by her new, soft breasts one year post-op when her “after” photographs were taken.