I chose bilateral skin sparing mastectomy with reconstruction. I didn't keep nipples due to tumour location. I chose the option at my surgeon's suggestion given my family history and also because a MRI 5 weeks before I discovered a lump didn't show a cancer due to breast density. I decided the stress of wondering if recurrence or new primary was growing and not visible would be too great. I do miss my breasts but I am happy I have made the right decision. There are a number of reconstruction options and we have a group called Choosing Breast Reconstruction. In it are photo stories of various procedures by members here. Goodluck with your decision.
http://onlinenetwork.bcna.org.au/group/1-choosing-breast-reconstruction