This 63-year-old patient found Ann Arbor Plastic Surgery and scheduled a consultation for a revision breast augmentation after developing capsular contracture with a ruptured implant of the right breast following a previous bilateral silicone breast augmentation. To address these concerns, she underwent a right capsulectomy to remove the affected scar tissue, bilateral silicone implant exchange to Motiva^® implants into the subfascial pocket above the muscle, and bilateral capsulorrhaphy to reinforce and reshape the implant pockets for improved support and positioning. The patient looks and feels great! Motiva Ergonomix Full 355cc implants placed bilaterally in the sub-fascial plane on top of the muscle.