The patient is a 37 year old female with a history of breast augmentation in 2011 with 350ml Mentor Moderate Projection saline implants combined with an abdominoplasty. In the years following her surgery, she developed a capsular contracture of the right breast with complaints of tightness, malposition, and pain developing slowly over time. Exam demonstrated a firm, Baker Grade IV contracture of the right breast. She underwent a right breast capsulotomy and implant exchange. She did well post-operatively and has maintained nice symmetry of her breasts without recurrence of her contracture at 7 months.