Capsular contracture can be a challenging problem for patients and surgeons. Often correcting a chronic capsular contracture may require a staged procedure to most effectively treat the problem. When a capsular contracture is recurrent, it is often best to remove the implants for approximately one year prior to placing the implants back into position. Removing the mammary prosthesis and changing the position of the nipple areola complex at the same time can sometimes be a significant number of maneuvers at one surgery. Removing the mammary prosthesis for one year allows the body to heal and eradicate any bacteria that may be causing a propensity for capsular contracture. After one year, if patient still want implants, we encourage the patient to choose an implant that is of a smaller size with the intention of reducing the risk of capsular contracture.