I went down the implant route because I didn't have enough tummy and didn't want to use the back muscle. My age and the fact that I am also very active, influenced my decision. Tram flat results look and feel more natural but are numb. Implant from skin sparing is also supposed to be numb but I have quite a lot of feeling in the skin. Bonus!
As Rowdy says, Such an individual choice. Yes the trams flap recovery is slower but it depends on what final outcome you are looking for. I just wanted another boob that passed when naked and looks good with clothes. That's what I got.
Ask lots. Look at all the photo stories. Talk to the surgeons. Good luck
Juliexx