October is Breast Cancer awareness month so I thought we could look at an example of breast reconstruction after mastectomy. This patient had breast cancer on her left breast and underwent a nipple-sparing mastectomy, after which she was sent to me for reconstruction. I performed a breast reconstruction in two stages: At the first procedure, I inserted a tissue expander in the left breast and over the course of several weeks slowly filled this expander with saline to create a pocket for her final implant. At the second procedure, I removed the tissue expander and placed a cohesive gel silicone implant, and the performed a breast lift with a small implant on the right side to give her more symmetry and balance in clothing. The After photos are taken 6 weeks after her final procedure.