A 53 years old female patient with history of right breast cancer s/p MRM with implant reconstruction on 2016. With implant infection and was removed 6 months later. Severe capsule contracture and seroma formation was noted, with duration for 2 years. She visited us and MRI was done showing seroma formation extending from chest wall to axillary region, no signs of BIA-ALCL. Surgical treatment was done showing thick capsule over subcutaneous layers, surrounding pectoralis major and minor muscle and fascia, extending to axilla and partial rotator cuff region. Primary closure was done initially, however, follow up of wound condition showing local swelling and erythema over skin of right chest wall with exudate 7 days after surgery. Thus wide excision and reconstruction with LD flap reconstruction was done. Thick capsule was noted with attachment to skin. Good wound healing was noted during follow up.