Ask The Doctor-Would I Qualify for Further Reconstruction?



This week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: Husband is retired Navy so we have Tricare. I’ve already had unilateral reconstruction with silicone implant. However, it is about 1/2 the size of real breast and scar tissue is drawing it up. I don’t want to go back to my surgeon since he left it that way. His option was to chop the real breast down to match the small implant. I said “No” and never heard from him again. No final tattoo was offered either.

My question is would I still qualify for further reconstruction? I’d be interested in having the implant removed and the DEIP procedure. Also, I have plenty of fat to offer but are there restrictions on how fat is too fat?

Answer: Thank you for your question. I’m sorry things did not work out the way you wanted with your implant. It is possible to have your implant removed and replace it with your own fatty tissue. The DIEP may be a good option for you especially since you feel like you have extra fatty tissue in your tummy area. Also if your implant does not match your other breast then your own tissue would likely be a more natural match.

The restrictions have more to do with your overall health and your weight. If someone is too overweight then we would discuss losing weight before surgery to lower the risk of complications. In general if your weight is equal to or over 200lbs then we need to specifically evaluate your situation in detail. I would be glad to have our staff contact you for that information or set up a time that we could talk over the phone. If you would like to come for a consult that would be possible too. Just let us know if you would like more information.

Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!


  1. Judy Fultz says:

    I had breast cancer in 93 ,weight 190 lbs.was wondering about breast reconstruction surgery using my on body fat ,,wondering if it’s too late for breast reconstruction surgery .and have Cigna Health insurance .

    • Thanks for your question Judy. It’s never too late to decide that you would like to pursue breast reconstruction. We’d be happy to speak with you about the options available and YES – we are Cigna providers.

    • Hi Judy and thanks for your question. We do accept Cigna and they recognize the procedures we perform as an acceptable and medically necessary method of reconstruction. We’re happy to talk with you about your specific situation and help you decide if natural breast reconstruction might be the answer for you. Just give us a call (866-374-2627) or e-mail me directly ( and I will be happy to set up a conversation with one of our doctors for you. Have a great day!