After my third (unrelated) breast cancer, I had a double mastectomy and immediate reconstruction, with implants, and including latimus dorsi flap on right side, because I'd lost my pec major muscle years before. It was a complete and utter train wreck, because I'd had radiation to both sides in previous bc events years before. The surgeons knew that so should never have suggested reconstruction. I had capsular contraction, a great deal of pain, and the things on my chest had no resemblance to breasts! Eventually I was able to have the horrible implants out and flat closure. Great weight off my chest!!!
Best thing ever! I have knitted knockers, but never bother with them, because who wants to wear a bra! I really don't care how it looks, I'm very happy to be flat, and I love the freedom!