26 year old male with right side affected Poland Syndrome. He had partial absence of his right pectoralis major muscle as well as a complete absence of his nipple, medically called athelia. Note the well-developed clavicular portion of his pectoralis major muscle in compensation for the absent sternal attachments of the pectoral muscle. He underwent a custom made semi-solid silicone implant placement via an axillary incision. He then underwent creation of the nipple in the office with local anesthesia, followed by nipple and areolar tattooing to match his opposite chest.