ABOUT THE PROVIDER: First Name Last Name STATE: Alabama ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: A-C cup Age: 30-55 yrs Race: White Body type: Normal weight (BMI 18.5-24.9) Incision pattern: Fishtail/Y-Advancement Surgical Specifications: Tissue rearrangement V-Y plasty BEFORE SURGERY: AFTER SURGERY: