66 yo presenting with capsular contracture and implant rupture. She initially had her implants placed 46 years ago, and has had known implant rupture with severe capsular contracture for years. Her breasts had become very firm and painful and she presented to me seeking implant exchange for a similar size. Photos: Before; 6 months after implant exchange to 305cc moderate projection silicone implants, lift, and 'internal bra' mesh support performed by Dr. Dumestre.