This 48 year old woman had undergone a previous breast subglandular breast augmentation elsewhere. Three years later she was diagnosed with a breast carcinoma on the left side, which was treated with lumpectomy and radiation therapy. She presented with a painful, firm left breast and asymmetry. This was corrected with a capsulectomy, revision augmentation, and insertion of Alloderm (Acellular Dermal Matrix) on the left side, along with revision augmentation of her right breast. She declined correction of her nipple asymmetry since she was very pleased with her improvement. She is seen one year following her surgery. Please note that both breasts are equally soft despite the left breast having been previously radiated.