Implants are foreign material and not recognized by your body. The natural reaction of your body to foreign material is to generate scar tissue. An implant induces this reaction and a capsule is formed around the implant and “grows” or “thickens” over the years. At the long-term this capsule will become thicker and can deform the breast. The scar tissue can cause painful episodes and discomfort. These symptoms are a reason to remove the implant and the capsule. Most patients do not prefer to change their old implants with new ones. A solution to treat the volume deficit after the implant removal is to perform a fat grafting procedure.