The patient, a 40-year-old female weighing 120 lbs, underwent a procedure to remove and replace bilateral breast implants and treat right capsular contracture. The surgery involved the use of 505cc high profile Sientra implants and included a right capsulectomy. The before-and-after images illustrate the changes observed at a 16-month post-operative timeframe. Notable differences include adjustments in breast contour and symmetry. The images provide visual documentation of the surgical intervention’s impact on breast shape and positioning. This case highlights the technical aspects of implant revision procedures, including implant selection and surgical techniques employed to address specific anatomical considerations.