43 yr. old. Breast Reconstruction. This patient had immediate latissimus flap breast reconstruction with tissue expanders. 4 months later the expanders were removed and replaced with 650mL smooth gel implants bilaterally along with 170mL of fat from her abdomen split bilaterally. She also had nipple reconstruction and a mastopexy (breast lift). The patient had nipple tattooing. The last set of after photos were taken 1 year and 7 mo. after her immediate latissimus flap breast reconstruction.