Patient 1520: A 46 yr. old who underwent bilateral nipple sparing mastectomies with immediate breast reconstruction. Tissue expanders were placed to start the reconstruction process. A second surgery was performed for removal of the tissue expanders and placement of permanent 695ml implants and 180ml grafted fat split, 100ml for the left breast and 80ml for the right breast to complete the reconstruction. Final photos are 1 yr. 7 mo. post surgery.