Hi Jeniren, I had nipple reconstruction in late November last year. I'd had reconstruction some 6 months before and the breast had dropped down and healed well by that time.
You're right in that there are a few options for nipple reconstruction, depending on the surgeon. Probably the most common reconstruction (which I had) was where the surgeon made a small incision on the reconstructed breast and the skin from this tissue flap was formed into a nipple shape and small sutures (stitches) were used to secure the shape. I understand one of the newer techniques some surgeons are using is to insert a piece of synthetic skin product – such as Alloderm or Flex HD - into the reconstructed nipple so it doesn't flatten out too much, which most reconstructed nipples do over time. Hopefully someone here, or from the Breast Reconstruction group, will be able to give you more information about their experiences with Flex HD. If you are a Breast Reconstruction Group member, just click on the All Topics drop down menu on the group's loading page and you should find some posts about nipple reconstructions, accellular matrix and surgeons, and feel free to post this question into the group too :-)
I had my surgery in Sydney but hopefully others might pop in and recommend some surgeons in your area. Best wishes, Jane xx