Patient is a 56 year old woman with history of Her 2 positive left breast cancer who elected to undergo bilateral breasts mastectomy without reconstruction. She underwent chemotherapy after her mastectomy. When she seeks Dr. Goldberg help, she complains of chest tightness and inability to take deep breath. She is an avid Swimmer who is very thin. The only excess tissue she has is in her thighs. Her breast reconstruction journey included

Surgery 1: Bilateral breast reconstruction with Hybrid reconstruction including PAP flap + impalnts – profunda artery perforator flaps with implants. Implants Mentor moderate plus 240 cc