40 yo diagnosed with left breast cancer seeking implant reconstruction. Cancer treatment: chemotherapy, double nipple-sparing mastectomy, and left breast radiation therapy. Photos: Before, 4 months after double mastectomy with direct-to-implant above-muscle reconstruction (385cc silicone implant) and left breast radiation therapy, and 1.5 years after initial surgery /3 months after 2nd stage surgery to upsize implants to 545cc silicone implants with fat transfer to both breasts from abdomen.