Forty-year-old woman with left breast DCIS initially treated with lumpectomy and radiation, later chose to have bilateral skin sparing mastectomies. She underwent immediate bilateral LD flap and tissue expander reconstruction, followed by staged implant exchange with moderate plus profile 397cc implants. She then underwent nipple areola reconstruction and tattoo.

Fifty-year-old woman diagnosed with left breast cancer underwent bilateral skin sparing mastectomies. She chose bilateral immediate LD flaps with moderate plus profile 533cc gel implants, followed by staged nipple areola reconstruction and tattoo.

Fifty-five-year-old woman with left breast cancer chose to have bilateral skin sparing mastectomies with immediate LD flap and expander implant reconstruction. She then underwent staged implant exchange with moderate plus profile 397cc implants, followed by nipple areola reconstruction and nipple areola tattoo.

Forty-four-year-old woman with a family history of breast cancer initially treated bilateral breast cancer with prior bilateral lumpectomies and radiation. After learning that she had a BRCA-1 gene mutation, she chose to have bilateral mastectomies with immediate LD flap reconstruction and tissue expanders followed by staged implant exchange using moderate plus profile 457cc implants, nipple areola reconstruction and nipple areola tattoo.

Sixty-two-year-old woman treated right breast cancer with bilateral mastectomies. She chose to have immediate reconstruction with LD flaps and tissue expanders. Expander implants were exchanged for moderate plus profile, 176cc gel implants during a second stage procedure, which also included nipple areola reconstruction and tattoo.

Thirty-seven-year-old woman with a BRCA 2 genetic mutation and a family history of breast cancer chose to have bilateral skin sparing mastectomies with immediate reconstruction with LD flaps and tissue expander implants. In a second stage procedure, her tissue expanders were exchanged for high profile, 375 cc gel implants and bilateral nipple areola reconstruction was completed.