(A) Preoperative view of a 55-year-old female, with BRCA-2 mutation without previous breast-conserving surgery and adjuvant radiotherapy. (B) Postoperative view 16 months after risk-reducing mastectomy (inframammary incision) and immediate direct-to-implant reconstruction with Mentor CPG 323 440-cc implants (Mentor Worldwide, LLC, Irvine, CA). No complications, including capsular contracture, are observed.