I had a mastectomy in July this year. Reconstruction options were discussed at the time but I was assured that that could wait if I preferred. As it was unknown if I needed radiotherapy ( which I was informed can effect reconstruction at the time), I decided just to opt for mastectomy to get rid of the tumour and make other decisions when I knew what I was facing in terms of treatment. My thoughts were to just concentrate on one thing at a time. I have just booked in for DIEP flap reconstruction because I feel now is the right time to make that decision. I did have skin saving surgery initially. I guess the main thing for me was that you don’t need to make all decisions at once. Having waited, I don’t need a tissue expander either which I didn’t really want. Best of luck to you