Description: 47 year old 6 foot 155 lb patient with pre-cancerous changes and a strong family history of breast cancer who had bilateral mastectomy. Bra size was B cup, and patient desired the same appearance post-op.

Description: Mastectomy weights 450 grams, implants used were Natrelle style 410 shaped FF 595 ml. Mastectomy incisions under breast fold, but nipple elevation later required transverse incisions to achieve best aesthetics.

Description: Note nearly identical upper pole slope pre- and post-op.

Description: Bra size remained the same post-reconstruction.