I opted for double incision with no nipples.

My main concern with the surgery was overall contour, nipple appearance and placement - and I knew I would've been unhappy with my results if the nipple placement was slightly off or they looked weird. I also had dysphoria about my nipples, sometimes even more so than the actual breast tissue. I knew my surgeon could resize areolas fairly easy, but nipple resizing seemed more difficult (and both my nips and areola were large/feminine). I never had much sexual sensation in my nipples and I was too dysphoric to find that a turn-on, so I didn't care about losing them.
I had nipple reconstruction about 6 months after the surgery, and it was really nice to have new nipples! I did feel a bit alien when I had none. I haven't had the pigment tattooing yet. The small scars made during the reconstruction turned into mild keloid scars, which actually worked out well because it's given me a vague appearance of areolas.

Now that the scars are fading and becoming paler, I'm considering getting the tattooing in the near future.