51 yr. old. Breast Reconstruction. This patient had immediate latissimus flap breast reconstruction with tissue expanders. 5 months later the expanders were removed and replaced with 650mL smooth gel Patients 1023-6523 a/o 3/15/23 implants bilaterally. 120mL of fat grafted from her abdomen was split between both breasts for asymmetry. She also had nipple reconstruction and a mastopexy (breast lift). The patient has not had nipple tattooing. The last set of after photos were taken 1 year, 6 mo., after her immediate latissimus flap breast reconstruction.