This 52 year old patient was diagnosed with left breast ductal carcinoma in situ (DCIS) disease. Following both discussion with her surgical oncologist and Dr. Leonard, she elected to proceed with double mastectomy; the left mastectomy was nipple ablating, while the right was nipple sparing. Immediate reconstruction was done with breast tissue expanders, followed by final implant placement, and final surgical stage of nipple reconstruction on the left breast. After tattooing of the nipple was completed, the left nipple is fairly similar the natural, right nipple. She is very pleased with the end result of her reconstruction.