The patient had a left mastectomy for cancer. She neither desired nor required any treatment to the right breast. On the right, she had a moderate sized breast with mild ptosis (droop). She had some abdominal fat without being obese, had no abdominal scars, and was otherwise healthy. She was therefore a good candidate for a unilateral TRAM flap for breast reconstruction. The flap was transferred without any perioperative problems and then allowed to mature for 3 months. At that time, she returned to the operating room to have the volume and fullness tailored with liposuction to better match the right side, and to have a nipple reconstructed.