67 yo with history of right breast cancer, treated with double mastectomy and implant reconstruction by a different surgeon. Had implants removed 10 years prior to presenting to Dr. Dumestre and has been flat ever since. Wanted reconstruction using her own tissues and wanted to avoid the skin patch required for delayed reconstruction, so the plan was made to first stretch the skin with tissue expanders. Photos: Before; 6 months after tissue expander placement, and 1 year after 2-stage DIEP flap reconstruction (5 months after liposuction contouring and breast shaping) performed by Dr. Dumestre.