This 45 year-old young woman had breast augmentation 19 years earlier with silicone implants. She developed progressive firmness and pain of both breasts. At the time of her revision surgery she was found to have ruptured implants which were replaced by 375cc saline implants filled to 400cc and placed under the pectoralis major muscle. She is seen 10 months after surgery and is very happy with the softer feel and natural look of the breast. She is also free of any breast pain.