Hi Pam
I haven't yet had a reconstruction, but was on a consumer group to evaluate a new publication regarding types of reconstruction.
Although it is a very long operation, the DIEP flap seemed the way to go. No muscle being shifted meant less tummy problems in later years (hernia.)
The state of your skin following radiation, how much belly fat you have, your age, your ability to withstand a very long operation and the type of reconstruction offered by your Plastic Surgeon will all help to determine the type you eventually decide on.
Not all Plastic Surgeons offer all types of reconstructions, you may need to ring around.
I have spoken to many women who have had the muscle shifted from under their armpit to the breast with an implant behind it, many are happy, some have lost some use of the arm and one can no longer play golf which was her passion.
Investigate all potential side effects before you decide.
Query re your tumour status, triple negative and estrogen positive?
With love
Joy K