A 30-year patient who underwent risk-reducing bilateral nipple-sparing mastectomies with access at the inframammary fold and immediate direct-to-implant prepectoral reconstruction with micro polyurethane foam–coated anatomic implants (335 cc; width 12.5 cm). Preoperative (A, C, E) and 6-month postoperative (B, D, F) photographs are shown in front, right oblique, and right side views.