This 41 year old woman was diagnosed with right breast cancer, and she chose a double mastectomy (removed both breast) along with tissue expander reconstruction and dermal autologous (fasciocutaneous) flaps (her excess skin envelope was salvaged to auto-augment her own breast mound for additional projection and shape.) The pre op photos show her before her mastectomy. The next photos show the expanders fully inflated about 5 months later. The next photos show her about 8 months later after she underwent placement of silicone breast implants (650cc High Profile gel) plus nipple reconstruction (CV flaps) and also fat grafting. The last images show her completed reconstruction including areolar tattoo about 18 months after her diagnosis.