One of the multiple reasons I chose a double mastectomy was my concern about having one 18DD tit wobbling about on its own. Add to that concerns it would turn feral and want to kill me, both off made sense. I was not exactly railroaded, but certainly normalised, into the concept of reconstruction prior to mastectomy. I had my chemo first then it took me so long to get a double organised that when the conversation changed to retreads it almost seemed like a done deal. I can only be grateful that I wasn't convinced a double tram flap (all the rage at the time) was a good idea.
After a series of cock ups, I have A cups on a sizable frame. You are right, @Sanra , clothes look much better without the huge norks. I honestly don't think that most of my clothing would look much different if I had no tits at all. It certainly would have saved me a lot of pain and expense to go without, but at the time I knew no one who could give me informed advice and went with the flow.
Hind sight is not exactly 20/20 but sometimes it feels like it. Thankfully expectations are changing and, hopefully, those making the huge commitment to go through complex reconstructions are doing it for the right reasons. Fingers crossed.