This 58 year-old young woman originally had breast augmentation with silicone gel implants 26 years earlier. She had one revision 3 years later on the right breast but still developed breast pain and hardness. She could not lie on her stomach because of the breast firmness and pain. Her revision required removal of the old gel implants and the surrounding scar tissue. New midrange profile 304cc silicone gel implants were placed and a breast lift was performed. She is seen 1 year after surgery.