7 Months Post-op——This female was diagnosed with cancer of the right breast. She chose to undergo right mastectomy for treatment of her cancer with simultaneous prophylactic left mastectomy. She desired a very modest post-operative breast size. At the time of her mastectomies, she underwent immediate breast reconstruction with placement of permanent 350cc saline implants. Nipple reconstruction,areola tattooing as well as fat grafting for refinement of shape were performed at separate stages.