Hi Sandy, I was diagnosed with TNBC in Feb 2016; stage 1c but grade 3 in right breast (no lymph node involvement). Because of the aggressive nature of the tumor I chose to have a double mastectomy but was a good candidate for nipple sparing due to the smaller size & location of the tumor. I had tissue expanders placed during that surgery and then had to wait a year before I was cleared for reconstruction (after chemo & a clear PET scan at the 1 year mark). I interviewed two cosmetic surgeons and elected to go with DIEP flap surgery rather than implants. One of the surgeons told me implants can cause some women to feel cold all the time and I already had problems with that. I also didn't want to have anything foreign in my body. 2 1/2 years down the road I am still happy with my decision. I do have some hardened fatty tissue along the scar line on the lower right but the reconstructed "breasts" are warm & soft. The only real dissatisfaction I have is the numbness, not only from the mastectomies, but also across my abdomen where they took the fat to create the breast mounds.