We met with the plastic surgeon on Friday, just to hear about various reconstruction options. Interestingly, the plastic surgeon was probably the most supportive of the "do nothing" option of anyone I've talked to so far. The next easiest thing is implants, where an expander is placed at the time of the mastectomy, tucked behind some chest muscles. For the couple months following the procedure, you go in and have saline injected into the expander, up until you get to the size you want. Then there's a surgery to replace the expander with permanent implants.
The other option is a "flap" procedure, of which there are many, where tissue is harvested from another part of the body and used to form "breast mounds." I like to think of these as "flesh heaps." The easiest way to do this is to cut slabs from either your belly fat or your back fat and swing them into place, keeping bloodflow intact. But it's not just fat, since veins travel along muscle, you're also re-locating muscle.
And then, if nothing takes to being re-homed, and/or you get a raging infection, you can get work as an extra in the Walking Dead as a dangling flesh heap zombie needing no special effects makeup.
Too grossed out to follow my dreams of a boob job with a bonus tummy tuck, the plastic surgeon leaned in close and said one thing he HAS done, is used liposuctioned fat to plump up the area around implants, and remove any hard edge. I could get liposuction on my belly as part of the reconstruction. However, he doesn't harvest all the belly fat, so there's a reserve left if he ever needs to go in and get more.
All of this sounds like a lot of fucking around to get new flesh heaps. I'm opting out. If it turns out I've made a terrible mistake, any of it can be done at a later date.