Delayed Breast Reconstruction. This 63-year-old patient had delayed breast reconstructions with latissimus flaps and tissue expanders. 7 months later the expanders were removed and replaced with 520mL gel implants and 70mL of fat added to each breast. She also had nipple reconstruction and a lift. She has not had nipple tattooing. The after photos are 1 year and 1 month after the delayed reconstruction began.