* Here is a woman who had bilateral mastectomies and reconstruction several years ago. She was unhappy with her breast reconstruction. The capsules that had formed around her breast implants were distorting her breast shape, however her implants were also malpositioned. This was not going to be an easy fix, it would take someone who had a good concept of the anatomy of the mastectomy flaps and their blood supply. As well an aesthetic eye with the skill to re-arrange skin flaps to correct the asymmetry of her nipple and areolas while creating a pretty breast shape was also needed. A careful surgical plan was designed and the result was dramatic. She is shown here at 14 months out from her revisionary surgery.