I originally wanted this 1st up with my bilateral and reconstruction surgery .. but my breast surgeon advised me that it might delay my treatment whilst I got a date snd suitably qualified plastic surgeon for this. So I opted for the quicker option of teardop tissue expander and quite happy with the result even though not quite finished done by my breadt surgeon . The changeover will occur after chemo fibushef. I decided if need be I can do a diep later when the implants need changing over. Be aware that diep flaps often still need adjustment surgery...so it probably still is more than just one. Sorry about that info. It's all very confusing. I am unsure also if they do them prior lump removal and sentinsl node biopsy...in case you need radiotherapy as that would compromise the new graft. You can have a tissue expander inserted and inflated pre radiotherapy though. It's so hard to know the right choice...many questions for your Dr appt. Next week. Kath