Cross-sectional analysis of BREAST-Q scores for satisfaction with breast between laterality groups at the following time intervals: pre-operative, 1 year, 2 years, 3 years, and > 3 years, post-operatively. No difference in satisfaction was observed early in the interval of observation; however, bilateral autologous reconstruction was associated with greater satisfaction with breast when compared to unilateral reconstruction at > 3 year follow-up.