Hi!
1) At 104 pounds, I doubt that you have enough excess abdominal tissue for a DIEP flap. So, without examining you, I would say the latissimus flap sounds better.
2) If there are no radiation changes in your skin, we sometimes do breast reconstruction in radiated patients just with an implant under the chest muscles, without any flaps. We have had good results in selected patients, and of course it is much less invasive surgery.
3) On the other side, you need a breast lift with or without an implant.





