Introduction: A review of patients at Baylor College of Medicine Division of Plastic Surgery found that approximately 15% of women who had breast reconstruction, had a cosmetic procedure from the same surgeon. This data suggests that through breast reconstruction, young plastic surgeons can create a cosmetic surgery practice.

Methods: A retrospective analysis of 200 patients who were examined and operated on by the same surgeon was performed. Patients that died of disease were excluded. Immediate and delayed, autologous tissue and implant-based reconstruction techniques were included. All cosmetic-related procedures were examined.

Results: Of 200 patients, 3 were excluded. From 197 patients, 30 (15%) had 31 aesthetic procedures. A larger percentage of patients that underwent autologous reconstruction then had an aesthetic procedure. A similar correlation was found with delayed reconstruction.

Conclusion: It is increasingly difficult for young plastic surgeons to become recognized in the competitive field of aesthetic surgery. Through breast reconstruction, however, they can acquire patients that will likely return for cosmetic surgery. These patients may also refer others, helping to expand that practice. Therefore, by actively seeking and treating patients who need breast reconstruction, one may establish a cosmetic practice without spending exorbitant amounts of money on advertising.