This 70 year old woman presented with severe capsular contractures S/P breast augmentation in 1987 and revision in 2006. She is very active and these were uncomfortable and in her way. She is very thin but I was able to get adequate fat to replace her implants by going to multiple donor sites for harvest. She also had remarkable fat graft survival, maintaining most of the volume that was placed. Her bra size remains the same but her breasts are soft and natural. Notice the smooth and natural slope to the upper breast on 3/4 view.