I started with R Mastectomy with axillary clearance, Chemo and R/T
I considered going Flat both sides. But I decided that I would be too bottom heavy, without boobs.
I would have liked a DIEP to both sides, but I was unsuitable.(based on a CT scan of my abdominal blood vessels)
Symmetry was very important to me.
So my final decision was to have a Lat Dorsi on my R side.
The other side I had prophylactic Mastectomy, with a reduction of skin.
I had tissue expanders both sides, later changed to Implants.
I am very happy with my results. I will get 3D nipple tattoos soon.
My only regret is that I should have gone up another 50-100mls
When I shop for bras I would ideally need a 20C. They don't make many.
Maybe i'll eventually lose weight, and I'll be an 18C.