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I also had an expander put in during my mastectomy (single) and had to have radiation. I was fully expanded before starting radiation and then had 28 rads. I didn't have my exchange until 2-3 months after radiation was completed. My understanding was that at least one reason they did the exchange after radiation was done so that if the radiation caused any problems with the expander it was going to be replaced later anyway and so they could correct any issues then.
Pat
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