I had the double Mastectomy and gel implants in one surgery. The surgery took two hours with both the surgeon an plastic surgeon working in tandem. ( like a relay) I was a B cup and just stayed a B cup. I had DCIS and fortunately my sentinel nodes were clear. Initially, my intent was a lumpectomy with radiation and estrogen blocking therapy for five years. Didn’t have clear margins and the cancer was rather large. 2x8x9 cm’s. I do not need radiation or hormone blocking. I just need to acclimate to my new boobs. I need to wear a bra all the time for my own comfort. I just feel more comfortable bound. I have some nerve twinges but nothing too bothersome. I have 3 inch scars and may have some little dog ears removed. Tattoos are in the future to imitate nipples. (Maybe sunflower 🌻 s for a pretty affect).