Case Details: 65 y. old female with a history of right breast cancer who had a mastectomy and implant reconstruction years ago by another provider. She was unhappy with the shape and symmetry of the breasts. Procedures performed include left breast lift with auto-augmentation and revision right breast reconstruction with implant exchange, lift, fat grafting and right nipple reconstruction (done in two operations). An additional round of fat grafting to the right breast was discussed but she is happy with the results. She is also considering and nipple-areolar tattoo. 4 months post. op from second operation.