Post-Mastecomy, this young woman presented to me after an attempt at breast cancer reconstruction from another institution. She was unhappy with the poor shape and incomplete camouflage. I reconstructed her by reconfiguring the implant space by changing the implant and making a pigmented, nipple and areola. I fat grafted the perimeter over the implant and did an augmentation to create balance and a more natural curve. A very fine outcome and a very grateful patient.