This 58-year-old personal shopper had five implant procedures over 20 years (including removal, replacement and revision of gel implants) by various surgeons. Three years ago she presented with a left implant that rode too high and a right breast with a “socked in” scar. Her left implant pocket was lowered and her deformity on the right was found to be a malpositioned pectoralis muscle. The muscle was put back into position on her rib cage. New gel implants were placed above the muscle and so far, so good. Maybe the sixth time was a charm.