44 yo with history of cosmetic breast implants (485cc) placed under the muscle. Diagnosed with right breast cancer, seeking double nipple-sparing mastectomy with immediate implant reconstruction. Photos: Before; 10 months after double mastectomy and placement of 685cc high projection silicone 'gummy bear' implants above the muscle (pectoralis major muscle was repaired), 5 months after fat transfer to breasts performed by Dr. Dumestre.

























































