This 41 year-old female had an extensive family history of breast cancer and tested positive for the BRCA gene. Because of her high risk of developing breast cancer, she opted for bilateral prophylactic mastectomies. The removal of her breasts were performed through small incisions around the bottom of the nipple. Immediate breast reconstruction was performed with MENTOR® ARTOURA™ Breast Tissue Expanders. Several months later, the expanders were replaced with the most advanced, new “gummy-bear” MemoryShape™ silicone implants. Fat transfer to the upper portion of the breast was also performed to create a very natural contour. Postoperative result at 1 year shows excellent symmetry and shape, preservation of the nipple tissue, all designed to the patient’s desire to also increase breast volume.