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43 year old female with a history of breast carcinoma in 2015. Patient originally underwent bilateral mastectomies in 2015. She had reconstruction with silicone implants. Approximately 3 years ago, she noted the right breast had been decreasing in size and had some deformity. She was seen for breast reconstruction consult in 2018. The patient underwent right breast reconstruction in 2019 with a free flap tissue transfer from her abdomen. The patient is happy for results.