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I had a lat flap with my skin-sparing mastectomy and I look beautiful. The half of a line on my back is right at the bra line and can't be seen. The lat muscle sits on top of the saline implant to give a very natural look. I couldn't have the tram flap because I'm small, but I wouldn't have wanted one of those anyway and I'm completely satisfied. Good luck to you. My nipple comes next and there are many ways to go there, too.
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