68 yo female with invasive left breast carcinoma underwent wire localized left lumpectomy, sentinel lymph node biopsy,oncoplastic left breast reduction, right breast reduction, and bilateral free nipple grafting. She is shown 3 months post op. She under went nipple grafts because of the large size of her breasts. The nipple grafts healed but have some residual hypopigmentation and scarring around the areola.