Could anyone give advice on breast reconstruction?

Long talk: This is an hour talk for me for a first visit. Basically 2 main routes, tissue expander/implant vs. Using your own tissue to make a new breast. One is not "better" than the other. Each has its own good and bad points, and one method may be better for you as an individual. History or need for radiation or being a current smoker will limit your reconstructive options and increase complications.

Breast Cancer: The reconstructive technique used works in concert with the mastectomy performed by the breast surgeon. Problems related to surgery are not to be minimized but are the same for virtually every procedure. Specific operations have specific risk such as a mastectomy can result in some skin loss. An infection can lead to removal of an implant. A fat injection can clump and lead to necrosis.

Implants or Tissue: Options for breast reconstruction following mastectomy are: 1) Tissue expanders followed by implants, 2) Tissue flap reconstruction, including TRAM, DIEP flap, and other flaps, 3) Combination of flap and implant (latissimus + implant), and 4) Prosthesis -- meaning no reconstruction and wearing a prosthesis. There are advantages and disadvantages to each type. Have a discussion with your surgeon.