Hi Sue, I had a bilateral mastectomy with reconstruction in June 2014. I had ADM grafts and silicone implants. I am also on Tamoxifen therapy. I have had similar symptoms which have seemed to settled a little with time. I originally had to do a lot of lymphatic massage and drainage for the first few months (probs 6months in total, every morning and night). I was getting a lot of tightness, swelling and warmth and the lymphatic drainage seem to give relief. I now only do this on an as needed basis. I still get tightness and some warmth mainly when I exert myself and push the upper body a bit too hard. We have discovered that I am having side effects from the Tamoxifen, but cannot stop the treatment, I am making adjustments to these and listening to my body. One thing I can recommend is that never be afraid to ask or get a second opinion, as this is your journey and you should feel confident and reassured in the journey. This group is a great way to connect and obtain reassurance and advice.
xx Deb