This 42-year-old female from Poway, CA was diagnosed with right breast cancer and had positive margins following lumpectomy. She decided to have bilateral mastectomy and was interested in breast reconstruction. Dr. Gupta performed bilateral breast reconstruction with a tissue expander and Alloderm immediately following the mastectomy. Later, he performed second stage breast reconstruction with 700 cc silicone gel implant. These pictures were taken 1 month after final stage nipple reconstruction surgery. The patient will now proceed with nipple-areola tattooing to complete her reconstruction.