This 50-year-old female from San Diego, CA is diagnosed with right breast cancer and has decided to proceed with mastectomy. Dr. Gupta was consulted for breast reconstruction. The patient requested right breast reconstruction to match her left breast shape and size, with no additional left breast surgery. Dr. Gupta performed right breast reconstruction with a muscle-sparing free TRAM flap and achieved excellent symmetry to the natural left breast. These pictures were taken 1 year after surgery.