Capsular contracture or hardening of the capsule around breast implants is one of the most common complications of breast augmentation. Generally removal of the capsule and exchange of the implants is required. Having a skilled surgeon, who will preserve healthy breast tissues is paramount to the success of this procedure which is called capsulectomy. In extreme cases when some resection of breast tissue must be performed due to silicone infiltration, I am able to use reconstructive plastic surgical techniques to “create” new breast tissue.