This 45-year-old patient was diagnosed with cancer in both breasts and underwent a double nipple-sparing mastectomy as part of her treatment plan. She opted for implant-based reconstruction with the goal of maintaining her pre-surgery breast size. Immediate reconstruction was performed using 385cc moderate plus projection silicone implants placed above the muscle, followed by a second-stage fat grafting procedure to refine the results. These photos show her before surgery and one year after her mastectomy and reconstruction.