Cup size is a function of what's present and what's implanted. Since you have had bilateral mastectomies, your eventual cup size must be provided by the implant used. My breast cancer reconstruction patients always indicate their desired cup size however we discuss that this result is contingent on the availability of adequate (mastectomy) skin coverage. The other factors which impact the creation of a soft, mobile breast are: a) the presence/absence of radiation therapy; b) the intrinsic width of your chest, which is a guide to the diameter of the implant which can be used. However the diameter of the implant varies with the style of the implant, with the "high profile" implants, which project more, being narrower. My breast cancer patients usually prefer the "moderate plus" or "high profile" styles because we can take advantage of the implant measurements to meet the patient's expectations. The current tissue expanders also have a certain diameter, which your surgeon selected, preop, keeping your objectives in mind. At your second stage reconstruction, in which the tissue expanders are exchanged for permanent implants, you should participate in the selection of implant. Good luck.