Hi @rladdley 
i had bilateral mastectomies with no reconstruction in February this year.  I had her2 BC in one breast but I decided to get rid of both.  My surgeon was pushing for reconstruction but I flatly refused.  I am 60 this year and at this stage in life I wanted to simplify things, I also did not want to undergo any more procedures than required.
My husband and I have been married for 30 plus years but he was happy to go with whatever I wanted.  I guess as the others have said you need to be happy with your decision.