Hi Gab66, I had a nipple sparing bilateral mastectomy in February with tissue expanders. Due to multiple reasons a flap or back muscle reconstruction was not an option for me. I had a reconstruction in October. Whilst it's been a long painful journey, my reconstruction has been a huge success. Understanding your reconstruction options is challenging. Ask your surgeon questions. Ask for photos and diagrams of your options. Take notes. I found taking my partner and daughters along to my appointments meant I could have good discussions that helped me get my head around things. And, if you don't have one already, find the breast care nurse who provides support for your surgeon/hospital/area. Happy to respond to questions to.