This 55 year old Naples woman had prior breast augmentation with silicone implants in the 1980s above the muscle. She developed bad capsular contractures of the breasts, breast drooping and rupture of the right breast implant. After researching on the internet, she found Dr. Hasen and Aesthetic Plastic Surgery of Naples. She liked Dr. Hasen's credential, patient reviews and vast experience with complex cosmetic and reconstructive breast implant revision cases. Kent V. Hasen, M.D. is a board certified plastic surgeon who specializes in cosmetic surgery of the breast, body and face. Dr. Hasen frequently uses acellular dermal matrix grafts like Strattice in these complex revision cases. The patient underwent breast implant exchange, removal of the hardened and thickened capsule, removal of the free silicone gel, change of pocket to under the muscle, placement of Strattice acellular dermal graft to the lower pole of the breast and breast lift. Her implants remain soft, her nipples are in good position and the patient is extremely satisfied.