This 38 year young lady, 5’9” and 149lb. had a right breast mass that was removed. The mass recurred 2 years later in the right upper breast. A lumpectomy was performed, removing a mass nearly the size of a grapefruit. Immediate reconstruction was performed rearranging the remaining breast tissue. For breast symmetry a left breast reduction was performed. The patient is seen 16 months post op and is very happy with her reconstructive outcome.