This 54 year young mom of two children, 5’5” and 138lb. was diagnosed with left breast cancer after a suspicious mammogram and noting some nipple discharge. She elected to undergo a mastectomy and had a two stage breast reconstruction which consisted of an immediate left breast reconstruction with tissue expander followed by an implant reconstruction with a high profile 350cc. silicone gel implant. A symmetry breast augmentation was performed on the right breast using a moderate profile 150 cc. silicone gel implant. She is seen 3 years post op after she had nipple reconstruction surgery and remains very happy with her progress.