This week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.Question: I had bi-lat mast in 2011...no attempt at reconstruction. My age is now 69. Do I have options other than implants of the 'flap' procedure? Fat transfer? Thanks you for your attention to this question.Answer: Thank you for your question. Since you have had bilateral mastectomies you have multiple options for breast reconstruction. The options are independent of your age and if you are healthy then you can have breast reconstruction. Your possible options include: implants or your own tissue. Results with implants may not be as natural and if you have had radiation then maybe implants would not be a good option. Also results with implants require more revisions. Using your own tissue without sacrificing your muscles is another option that does not include implants. A flap procedure using your own fatty tissue usually requires two main procedures possibly three but then the results are permanent. Fat transfer or fat grafting is a possible option but that requires 4- 5 procedures. Please let me know if you need more information.Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!