Hi Holly,

        The D flap construction is, I think, the best because it doesnt involve putting in plastics or removing muscle in the buttocks or thigh etc. But it is an intensive procedure requiring 8-10 hours of surgery to hook up the circulation to the tissue. And, that means 8-10 of general anesthesia. 

          The upside is that the constructed breast looks and feels real because it is all the women's flesh, fat, and blood. You grow, it grows, you lose weight it grows smaller etc.. Also, assuming the graft "takes" it's not going to fail whereas silicone and saline have a significant failure rate. 

          The downside is 1. The intense nature of the surgery, 2. All the normal anatomical relations are compromised (of course this true with mastectomy and the other methods of reconstruction.)

         So yes, the yin E/E blocks can all be manifested due to lack of proper flow through the internal channels in the chest. 

         On a physical level there isnt much you can do other hen to pay attention to that block now and then. I wouldn't keep going after it in every session though. This is where herbs that move blood in the chest could come in very handy. A question is "to what degree doe the patient evidence subtle aspects (psych soul) of the Kidney/Heart Protector E/E block? IE-Fear of intimacy, repression of tender feelings, etc???? I other words, is this most significantly structural or are there subtle aspects that might need to be addressed?