This case involves a 31 year-old-female with a family history of breast cancer who was suspected to have a marker for developing breast cancer in the future. A biopsy of her left breast showed atypical ductal hyperplasia (ADH), a retroareolar, and a ductal carcinoma in situ (DCIS). Clips were placed on both. The patient then subsequently underwent a NAC skin-sparing mastectomy with a deep inferior epigastric perforator (DIEP) reconstruction. Two years later, the patient felt a palpable mass in her left breast and underwent an MRI and mammogram. The imaging revealed a retroareolar solid mass containing a ribbon-shaped clip. The subsequent biopsy showed DCIS.