This 45 year young active young woman was diagnosed with a right breast cancer in the upper portion of the breast. She had BRCA testing which was negative. A right lumpectomy/partial mastectomy was performed. Immediate reconstruction was performed rearranging the remaining breast tissue and then for breast symmetry a left breast reduction was performed. She then went on to have her radiation treatment to the right breast. The patient is seen 6 months post op and is pleased with her natural results.