Debbie,
Breast reconstruction is a personal decision and should be discussed thoroughly with your plastic surgeon. He/she can help you decide the timing and which procedure is best for you.
All things being equal, I feel immediate breast reconstruction has several advantages vs. delayed including one less surgery, combined recovery with mastectomy, greater psychological benefit and tissue which is more supple, allowing for a better cosmetic result.
Whether you use an expander/implant or your own tissue (TRAM flap) depends on what your plastic surgeon recommends.
Good luck.




