* This 55 year old woman had a right breast cancer. She had bilateral mastectomies through a skin sparing incision pattern and immediate breast reconstruction using her latissimus dorsi muscles along with tissue expanders. Her nipple & areolas were reconstructed at this first stage as well. Four months later her tissue expanders were replaced with medium height, moderate profile anatomically shaped silicone gel implants with a 355 cc volume. Revisions to her reconstructed breasts were done at this stage as well. Six months later her nipple and areolas were tattooed completing her bilateral breast reconstruction.