Before Patient is a 38-year-old female, mother of 2. She is 5’2” and weighs 156lbs. Pre-operative bra size was a 36D. Patient tested positive for BRCA gene mutation with a strong family history of breast cancer. Patient underwent elective prophylactic mastectomies following immediate implant based reconstruction (bilateral 550cc smooth shell surface, high profile, silicone implants), and bilateral nipple reconstruction. Post-operative bra size is a 38D.