* This 32 year old woman had a mastectomy for a right breast cancer. She had immediate tissue expander breast reconstruction in another state. Her surgeon felt that she would be a good candidate for reconstruction using an anatomically shaped gel breast implant that he did not have available to him so she was referred to our office. Her surgical plan included a capsulectomy to remove the scar capsule that had formed around her tissue expander, removal of the tissue expander, and insertion of an anatomically shaped breast implant. Five months later her right nipple & areola were reconstructed and a small left SPAIR breast reduction was done for symmetry. She was very pleased with her very pretty result!