I did double mastectomy and had nipple and skin sparing reconstruction at the same time with natrelle silicone implants. Only the one surgery. Plastic surgeon also had to sne out some skin about 3 months later to be checked because it wasn't healing right and was not scar tissue. Came back negative. Also just had biopsy done on suspicious lymph node. Came back negative. Report stated it was reactive. Thanking the Lord for that as well. Well wishes to you on this long road 🙏