Hi Pmerlo, I have just completed reconstruction using implants following blateral mastectomies. I had one mastectomy in December 2010 and the second as a precaution in September 2011 when I had tissue expanders inserted. These were replaced with silicone just 3 weeks ago and I'm delighted with the results. Sometimes after radiotherapy the tissue doesn't expand as well as the non radiated skin, but everyone is different and a plastic surgeon would be the best person to check out your skin to see if it will stretch sufficiently. There are several woman on this site who have recently had the DIEP which is like a TRAM flap but doesn't take the muscle. They seem very happy with their results. One of these ladies went through the public system as was very happy. Hopefully she will respond to your querie. Can I ask, did you have two cancers in your breast, one being triple negative and one being oestrogen receptive? How did the chemo treat you? Love Chris xx