Description: 55 year old 5 ft 7 inch 180 lb female with a strong family history of breast cancer and pre-cancerous biopsy changes. Wears bra size 36B and would like modestly larger reconstruction volume after bilateral mastectomy.

Description: Left picture shows pre-op markings. Green striped breast skin and nipples removed with mastectomies. Blue + signs on abdomen show site of perforators.

Description: Mastectomy volumes averaged 575 grams per side, with DIEP flap volumes 750 grams per side.

Description: Note better upper to lower body proportions.

Description: Nipples were reconstructed later with the skate flap technique and tattooing added for color.

Description: Post-op pictures are 17 months after mastectomies.