This week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question. Question: Long story short, I had a bilateral mastectomy with a tram flap reconstruction. For prophylactic measures 20+ years ago. 3 years ago I was diagnosed with stage 3 breast cancer Er/Pr large lymph node involvement. Chemo and radiation. Lumpectomy performed that left one breast very irregular and small—the other is very large. What type of procedure can be done to make both smaller and normal and can it be done? Thanks for your time Answer:Thanks for your question. It might be possible to improve your symmetry by reducing the side that did not receive radiation combined with adding fat to the smaller radiated side. Adding fat  is called fat grafting and involves suctioning small amounts from one area and injecting the fat back into the breast. Ask your plastic surgeon if that is an option for you.

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