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I had reconstruction the same time I had my mastectomy. The muscle from the back kind. I had an expander put in just because I didn't want to go that long without a breast. When it was time to do the nipple they removed the expander and put in my implant, which was and is a lot more comfortable then the expander. They just used some puckered skin from the back flat to make the nipple. I had no problems or soreness. I would do it again, with out a second thought. Patty H
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