Hi KTCC, sorry it has taken me a while to respond to this question. I also had a lat dorsi with implant reconstruction with Dr Lily Vrtik 3 years ago. I had only unilateral mastectomy which was also skin and nipple sparing and did not have enough tissue for any other options for reconstruction. It was on my left side and with regards to everyday life it has not really affected me all that much. I do occasionally get a tired feeling in my back on the right side which I am not sure if this is as a result of not having the lat dorsi on my left. I swim at least 2 times a week now - at first it was really hard and my reconstructed side always felt tight and a pulling sensation to start with however I rarely have this issue now when swimming. I also do a boxing class once a week and the main difficulty is boxing above my heag or holding the pads above my head for someone else. I do notice that I cannot punch as hard on that side, however it has always been my weaker side. I also do another class that involves weights and body weight exercises and I do struggle to do pushups however over time I have built up from not even being able to do one to now about 20 to 30 on my knees. I was originally told that I would probably not be able to do any of these things but I have been determined to do all the things I used to do. If you want to know more or ask more questions I am more than happy to answer them. Cheers Katie.