This 32-year-old woman had bilateral breast mastectomies for treatment of her breast cancer with immediate tissue expander breast reconstruction. This was followed by placement of Smooth Round Gel with Extra High profile, silicone breast implants along with bilateral breast fat grafting and 3D nipple tattoos. Her postoperative photos demonstrate excellent size, shape and a more youthful appearance of her new breasts.  She is extremely happy with her results.