Hi Maria, my surgeon is a specialist solely in breast cancer and reconstruction/cosmetic surgery. I had a left nipple sparing mastectomy 6 weeks ago. He gave me all the options during my pre-surgery consultation and I chose to go with an immediate implant reconstruction. Couple of reasons for me. I have had 3 x previous abdominal surgery which brings the danger of cutting into adhesions and internal scarring. Plus I'm fairly slim so not enough flesh on me to do a DIEP reconstruction.
I'm only a small B cup (probably being optimistic there!) so I thought this might be an opportunity to go up a couple of sizes but when he explained the expander process (and doing surgery on the other breast to increase size) I opted to go for an implant to match my other breast. At the time of diagnosis, facing ongoing cosmetic surgery was too much to think about, I just wanted it all over with.
I'm happy with the result. My new breast looks good with just a fine scar underneath and the match in size and shape is close to perfect. My nipple and 95% of the breast is numb and will likely stay that way but I am slowly getting used to the lack of sensation.
All our bodies are different and what works best for one of us won't necessarily suit another. Don't rush in to making a decision Maria, do what is right for you and take all the time you need - this will be your new breast for a long time!
I hope everything is going well, sending you my best wishes.
Jane x