Reconstruction after Radiation

I had radiation in my left breast for cancer about 9 months ago and now one breast is bigger than the other. I have seen a plastic surgeon and they are saying that insurance says 370 - 400 grams needs to be removed. I am afraid that it will be too much. I am 5'11 about 140lbs and a D cup now. Do the grams include the skin under the arm?

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