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This is a 50 year old female patient who sadly developed an aggressive right breast carcinoma. She underwent right mastectomy along with immediate reconstruction with Alloderm and medium height tissue expanders. She underwent expansion of her devices in the office with saline solution, and then was taken back to have her expanders removed and replaced with silicone implants. She was since scheduled to complete her reconstruction with creation of a nipple and areola on the right.