Forty-eight-year-old-woman diagnosed with left breast cancer underwent bilateral skin sparing mastectomies. As a competitive triathlete, her abdomen was too thin to provide adequate donor tissue. She chose to have immediate TUG flap breast reconstruction.

Forty-three-year-old-woman chose to have bilateral skin sparing mastectomies with TUG flap reconstruction for the treatment of left breast DCIS and a BRCA gene mutation.

Forty-eight-year-old woman with prior breast augmentation treated precancerous tissue and multiple cysts in her left breast with bilateral skin sparing mastectomies and TUG flap reconstruction.

Fifty-five-year-old-woman treated invasive breast cancer and a strong family history of breast cancer with bilateral nipple sparing mastectomies with PAP flap reconstruction.

Forty-six-year-old woman with a BRCA-2 gene mutation and prior bilateral nipple-sparing mastectomies with implant reconstruction chose to convert her reconstruction to bilateral PAP flap reconstruction in response to chronic pain associated with her implants.

Fifty-six-year-old woman initially treated recurrent left breast DCIS with a lumpectomy and radiation ultimately chose to have bilateral skin sparing mastectomies with TUG flap reconstruction.