Weight affecting chance for flap reconstruction

I have been talking with my plastic surgeon about wanting a DEIP flap reconstruction since my first visit with him about a year ago. He’s assured me that I was a good candidate with as he put it “ample” adipose tissue for transfer. I had my bilateral mastectomy in February 2020 and went for my pre-op appointment for my reconstruction surgery coming up in November. The surgeon suddenly tells me that I am too overweight for the flap surgery we’ve scheduled. Apparently the flaps would be too big to fit and that puts them at risk of poor perfusion after surgery. I was totally floored since this is not something that they’ve even mentioned as a possible issue before now.

My options at this point are to los weight and come back in 4-6 months for the flap surgery or get implants in November. I struggled for 6 1/2 weeks to get this surgery date because of COVID pushing back surgeries so I am reluctant to change it. I also have to face the need to pay my full out of pocket on our insurance again if I don’t get it done this year. I ultimately opted for the implants next month for these reasons but I am so frustrated and emotional about not getting the surgery I had planned for so long. Has anyone else had this issue come up?