Patient presented with unilateral breast cancer with plans for nipple-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 nipple-sparing mastectomy followed by immediate bilateral breast reconstruction with deep inferior epigastric perforator (DEIP) flaps (using tummy tissue to make breast mounds). With this option, a single-stage surgery is a possibility but many patients undergo a revisional surgery few months later to improve on the appearance of the breasts as well as the donor site. This surgery can include procedures such as mastopexy and fat grafting to improve symmetry and upper pole fullness of her breasts as well as revision of the scar on the abdominal donor site.