I was extremely lucky in the surgeon I selected. She was a woman, and absolutely focused on leaving the most "seamless" scar as possible My chest is flat, no extra skin on the sides, and the scar goes from partially under one arm straight across to under the other arm. If anyone is deciding on a double masectomy with no reconstruction, be sure to find a surgeon that completely understands what you want, and you can also ask if they can share photos to show you of past surgeries they did. After this surgery, the oncologist discussed with me the pros and cons of chemo, and in my case, there was only a 5% increase in benefit, which did not offset the actual time that would be needed for treatment, and more importantly, the recovery time which I know from personal experience could be maybe five years - it wasn't worth the 5% benefit to lose that amount of time when I want to travel and feel healthy (I'm 74)