* Here is a 43 year old woman who needed bilateral mastectomies. She wanted to have breast reconstruction at the time of her mastectomies but didn’t want to invest a lot of time in recovery. She talked with her reconstructive surgeon and the decision was made to have skin sparing mastectomies (the only skin to be removed would be that of the nipple and areola). Tissue expanders would replace the breast tissue that was removed. She had a 2 week recovery and was back to work. Over the next 3 months fluid was gradually added to her tissue expanders. Then, as an out-patient, her tissue expanders were replaced with permanent implants. Six months later nipple and areolas were reconstructed. These were tattooed 6 months after they were reconstructed completing her total breast reconstructive process.