60 yo with history of right breast cancer treated with double mastectomy and immediate DIEP flap reconstruction. Presented to Dr. Dumestre 1 year later very unhappy with abdominal contour (bulging due to muscle weakness after DIEP) and breast shape. Photos: Before; 1 year after abdominal bulge repair with mesh, lift of both breasts with liposuction contouring to abdomen and chest sides and fat transfer to breasts for contour.