Hi @Mjames, this is a biggy. Making the decision is have a mastectomy over a lumpectomy is a huge step to take if not medically necessary. I understand psychologically it might seem the way to go, but living with reconstructed breasts has its own list of physiological and psychological adjustments to make. Having the option of choosing is good and bad at the same time.
4 years ago at 41 I chose immediate bilat mastectomy and recon over single side lumpectomy and radiation. I miss my breasts everyday. In hindsight I can see I could have made different decisions and perhaps still had one breast with sensation.
My advice now, when asked, is to go slow, deal with the cancer and the cancer side and be thoroughly informed because there is no way back. I know that's really hard.
All the best, ultimately the right decision is the decision you make. Hopefully we can chat again in the BR group.
Xx