My doctor says I don't have enough skin, muscle and NO fat for reconstruction, would I ever be able to get implants?

Breasts can often be reconstructed with your body's own tissues. If there isn't enough extra skin or fat on the stomach or back to transfer to the chest, usually breast implants are an option.
In order for implants to be used, there needs to be be healthy chest skin and chest muscle to cover the implant. Often, a temporary expander is placed to help stretch the tissues over a few weeks to months to allow for a larger implant than could be placed immediately after the mastectomy. Sometimes it's not possible to use implants if there are specific circumstances like radiation or removal of the chest muscle, but these are rare.
It sounds like your surgeon probably meant you have too little tissue to reconstruct a proportionate breast, but sometimes your own tissue can still be combined with an implant for a very natural looking result. More information would be helpful.

Hello there

Sorry your situation is not quite clear . Is this for breast reconstruction after mastectomy ?

If you are very thin then the amount of cover for the implants may be limited and they may be very easy to feel and show some visibility with issues such as rippling .

But still having some shape there will certainly be better than leaving you un-reconstructed so I wouldn't despair . Tissue expansion may be the best way to go for you .

Feel free to ask your question again with a bit more detail and maybe a photo .

All the best

Terrence Scamp