This 56 year-old young woman is 5’4″ and 108lb. She previously had breast augmentation with silicone gel implants in 1974. She developed firm misshapen breasts with ruptured implants. Revision involved removal of the ruptured implants and silicone gel material from the subglandular position and placing new moderate plus profile 300cc silicone gel implants in the subpectoral position. She is seen 5 years post-op and very happy with the natural shape and soft feel of her breasts.