Patient presented with unilateral breast cancer with plans for skin-sparing mastectomy. She desired for prophylactic mastectomy and reconstruction on the contralateral side. After careful consideration, patient opted for autologous breast reconstruction. As such, she underwent bilateral skin-sparing mastectomy followed by immediate bilateral breast reconstruction with deep inferior epigastric perforator (DEIP) flaps (using tummy tissue to make breast mounds). After several months, a revisional surgery was performed to improve on the appearance of the breasts, which included mastopexy and fat grafting to improve symmetry and upper pole fullness of her breasts.