After radiation and mastectomy, plan for a flap

Hi Connecticut, I agree with others in that after mastectomy with irradiation, you require some kind of "flap". A flap refers to any  piece of tissue moved from one area of your body to another. The basic list of donor sites are abdomen (TRAM, DIEP), back (latissimus),  upper thigh (TUG), and butt (SGAP). If you are thin, you may not have enough fat in any one area to make up for a whole breast, and you will have to go for a flap + an implant.  Of all of the flaps listed above, the one that is different significantly is the latissimus, which is very very reliable (it won't die), but always needs to be combined with an implant.  I'm sorry I can't help further without evaluating you, you can feel free to send all of us a photo if you desire!