Thought I would share my story. Had same type of cancer on my left side, and invasive DCIS on right side. Decided to have bi-lateral mascetomy with no reconstruction. I thought I could handle the way I would look. I am 60 years old. After mascetomy had infection arise in my right side causing additional surgery, which also caused more scarring. 8 months after the last surgery I decided to have reconstruction. My PS recommended implants with expanders.
I had no idea how painful that was going to be. The expanders were very painful. Every time I went for a dreaded expansion, I felt like someone had put an elephant on the chest for a week. This took six months to complete. Then went for surgery with the implants, was told that it would be a lot more comfortable. It wasn't. 3 months later my right side encapsulated and had to have implant removed, scar tissue cut out and re-inserted. I am now 2 months out from that surgery. The mounds as I call them look somewhat like breasts. I have nerve damage on the right side which has caused continuous pain and limited the use of my right arm.
If I had it to do all over, I would not have had the reconstruction. I was very self consious of my "divots" and tried all the other alternatives, but felt caved in. Now I have trouble sleeping, keep wondering when these implants are going to feel like they are part of me and not something always feeling uncomfortable. PS has talked about doing another surgery where than take skin and muscle from your back. I will not have another surgery unless it is to remove these implants and try to get my life back to normal. It has been almost two years now and recovering from surgery each time is not getting any easier.
Think long and hard before doing reconstruction of any kind. Best of luck!