30s female with left invasive ductal carcinoma

This is a 30-year-old female found to have left breast invasive ductal carcinoma. She underwent a bilateral mastectomy with immediate DIEP flap reconstruction followed by radiation therapy to the left breast. Six months latrer, she completed her reconstruction with one revision surgery that included fat grafting to the breasts and nipple reconstruction. This was followed by in-office nipple-areolar tattooing.