Patient 1 – This 42-year-old woman was scheduled for bilateral mastectomy and was told she would need tissue expansion for two months prior to placement of her final implants. She came to Dr. Zenn instead for a Zenn Delay. Although she was having her nipple removed during the mastectomy, Dr. Zenn felt that due to her breast droopiness, she had plenty of skin that could be used to avoid tissue expansion. She is pictured before her mastectomy; 2 weeks after her mastectomy with viable and healthy skin; 4 months after placement of her implants (no tissue expander!); and finally after application of 3D tattoos. The shape of the breasts using Zenn Delay is much more natural than the usual flatness seen after months of tissue expansion.