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Patients with breast implants may encounter capsular contracture. Some patients may get capsular contracture repeatedly. In patients with capsular contracture we recommend removal of the mammary prosthesis. Often patients do not want do be completely done with their mammary prosthesis and we then encourage patients to have smaller mammary prosthesis replaced. It is often helpful to have the mammary prosthesis completely out of the body for up to one year before proceeding with implant replacement. After over one year of having the mammary prosthesis removed, the tissue characteristics can change significantly making the tissues more amenable to having mammary prosthesis placed.