This 64 year-old young lady had ruptured 29 year-old silicone gel implants. She developed pain and hardness in her breasts due to capsular contracture. She elected to have her breast augmentation revised with 304cc silicone implants placed below the pectoralis muscle. She is 5-1 and 110lb. and is seen 7 months after her surgery looking and feeling fantastic and happy to be pain free.