CASE DESCRIPTION: Sonoma, California A 45-year-old female resident of Monterey, California who presents to the San Francisco office at Union Square for breast revision surgery. She has had five previous breast revision surgeries. In 1996, she underwent breast augmentation using 270cc anatomic normal saline implants. Because of implant wrinkling, in year 2000 she had 35cc of saline placed within the same implant. In 2001, she had explantation of the normal saline implants because of the persistent wrinkling and had placed 360cc silicone breast implants. In 2005 she wanted increase in size and underwent replacement of her 360 cc implants to 500 cc high profile silicone implants. In 2006 she developed a capsular contracture on her right side and underwent capsular contracture removal and replacement with 500cc Mentor silicone breast implants.