* It’s a good day when a woman who has had bilateral mastectomies can have a breast reconstruction that looks so good that you think maybe she simply had a breast augmentation. Such is the case with this young woman. She chose both her mastectomy and reconstructive surgeon well. As well, breast reconstruction techniques have come a long way over the last couple of decades. Often breast reconstruction can be done without the use of muscle flaps and long surgeries with significant recovery time. She had just two surgical procedures. Nipple sparing mastectomies with immediate insertion of tissue expanders was her first surgical procedure. Her second procedure was completed five months later. It involved replacing her tissue expanders with anatomically shaped breast implants and fat grafting to add softness and fullness to her mastectomy flaps. Her post-operative photos show her at one year following her second procedure with a very pretty breast reconstruction.