RESULTS: From 2010–2015, 97 patients were identified who met our criteria, for a total of 194 mastectomies. The average age was 29 years (range 15–61), average BMI was 30 (range 20–54), and average specimen weight was 708 grams per breast (range 86–2702). The vast majority received full thickness nipple grafts (170/194). Eighty (82%) patients were on perioperative Testosterone. The average follow up was 98 days (range 0-1288). The aesthetic outcomes improved with surgeon experience. We had a total of 5 major complications which led to secondary surgical procedures: 2 hematomas requiring operative evacuation, and 3 seromas necessitating drain placement. One patient was diagnosed with breast cancer on screening mammography and was excluded. Minor complications included hypertrophic scarring, standing cone deformities, and pigmentation changes of the nipple grafts. There were no deaths or perioperative venous thrombosis.