55 yr. old. Breast Reconstruction. This patient had immediate latissimus flap breast reconstruction with tissue expanders. 6 months later the expanders were removed and replaced with 365mL smooth gel implants bilaterally, along with nipple reconstruction. 80mL of fat grafted from her abdomen was split between both breasts for asymmetry. The Vinny Myers Team did her nipple tattooing 3 months prior to her 1 year follow up photos. The last set of after photos were taken 1 year after her immediate latissimus flap breast reconstruction.