This is a patient who had breast augmentation many years ago and developed capsular contracture. She also developed a waterfall deformity where her breast tissue descended to a lower position compared to her implants. She wanted her implants and capsules completely removed and also desired a lift at the same time to bring her breast tissue into a more natural position. After the procedure she was very happy with her shape and breast size. Her scars healed nicely and are very thin.