The cloud of ejecta resulting from a final helium shell flash in V605 Aql has been imaged in both optical emission lines and infrared continuum. The obscuring circumstellar dust cloud, whose effects were first seen in 1923, is shown to be bipolar, suggesting dust formation takes place in a disk surrounding this star. The ongoing stellar mass loss in V605 Aql is part of the final flash episode, which has been ongoing since 1919. The pre-final flash planetary nebula, A58, is nearly circular. This implies that significant changes in the mass loss process occur between the AGB and final flash stages.