This woman presented for mastectomy of the right breast for cancer diagnosis. She had a subglandular gel implant placed in the past for cosmetic augmentation, and the implant was ruptured and encapsulated. She underwent nipple sparing mastectomy with removal of the degraded implant and scar tissue, and she had a new gel implant placed under her muscle, to match the left side. She did not desire any surgery on her left breast. She is photographed 7 months after her surgery with no revisions. She does not desire any further surgery.