Description: 38 year old 5 foot 9 inch 204 lb female with left breast cancer, wants bilateral mastectomy. Wears size 38DD bra but after 60 pound weight loss breasts ptotic, wants to be down one cup size and perkier.

Description: Mastectomy weights averaged 963 grams, DIEP flap weights averaged 740 grams, so reconstructed breast volume smaller but better proportioned.

Description: Pictures shown are 21 months after DIEP, and 16 months after nipple reconstruction.