Bilateral mastectomy with reconstruction (implants) and radiation.
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Doctor Answers 2
Asymmetry of reconstructed breasts is common after radiation.
You describe a very common and predictable outcome of bilateral breast reconstruction (by any method), followed by radiation to one of the two reconstructed breasts. The radiated breast is most likely to gradually continue to contract, and become more firm and higher on your chest, with less natural ptosis (sag). The best way to improve the symmetry is to add non-radiated skin and fat, in the form of a flap, from your belly or back, to the lower part of the radiated breast, or the replace the implant entirely with a flap of non-radiated tissue.
Breast reconstruction after radiation
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