This is a 49 year old female with a previous history of breast cancer, for which she underwent double mastectomies and implant reconstruction by another plastic surgeon. She was not pleased with her implant reconstruction result, as they appeared and felt unnatural. The left implant was smaller, higher, and had significant rippling. She desired to replace both implants with her own tissue. She underwent removal of both breast implants and replacement with DIEP flaps. She underwent a second revision surgery to inject more fat into the flaps to give them an even fuller shape and more projection. She then underwent nipple reconstruction and tattooing.