Background, Breast cancer is one of the most prevalent malignancies all over the world to which disfiguring surgical treatment is usually applied. Immediate breast reconstruction represents one of the golden solutions for women suffering breast cancer and concerning about their body images. Patient and method, Ten patients were treated by Skin Sparing Mastectomy and Immediate Reconstruction. Aesthetic results were evaluated as good to very good. The patients were followed up for 6-12 months duration. Conclusion, Skin sparing mastectomy removes the breast, nipple-areola complex, previous biopsy incisions and skin overlying superficial tumors preserving the native breast skin envelope, it offers better configuration of the reconstructed breast.