I went with silicone gummy implants because I didn’t want several more surgical sites to use my own tissue. I asked my plastic surgeon to give me the same look that I had pre double mastectomy. He amazingly did it, but they are too tight (they also are ice cold all the time on the bottom half). I have sensation on most of my skin but not my nipples, yet they react to the cold. I often wonder if working out causes the muscle to make them feel tight and maybe he could have gone a little bit smaller to compensate. I have to admit they look just like my real breasts but I am always aware of my left side, otherwise most days I probably would not think about it if they both could feel like the one on the right.