In this video, Paul Cederna, MD, endoscopically places tissue expanders for the reconstruction of chest burns on a 51-year-old woman who was burned by boiling water as a child. She has lived with very significant scarring and contracture her whole life, and after learning of her options, began reconstructive surgery in 2007 to enhance her functional and cosmetic outcome. The initial operation was performed to address the burn scar contractures of her breasts by placing breast implants for reconstruction and a left mastopexy to achieve symmetry in both shape and volume. This video documents the final stages of the reconstruction of her chest to address her burn scar contractures and burn deformity. Dr. Cederna demonstrates the endoscopic placement of tissue expanders to achieve the best aesthetic outcome possible given the amount of available unscarred tissue. Following the expander placement, four months pass, while the patient’s skin is expanded to the desire state for the final reconstruction. When the patient returns to the OR, Dr. Cederna describes his operative plan and then removes the expanders, excises all intrinsic and extrinsic burn scar contractures, preserving as much healthy tissue as possible. The overall goal of this procedure is to achieve symmetry in the size and volume of her breasts while minimizing her visible burn scars of her chest.