Hi @rladdley ,
if you are not sure you can ask to have skin sparing surgery to make reconstruction easier later if you decide.
This is what i did. I suppose what it looks like is a deflated breast (i dont have a nipple). Not quite flat. I also have a concave area at the top of my chest where breast tissue was removed. Breast tissue is tearshaped and goes close to your collarbone. I didnt expect that so worth knowing about.
After having a mastectomy and nearly through chemo i dont personally feel like going through another large surgery with expanders and things and am not uncomfortable with the way it looks. I think you forget the detail of pain so who knows in 6 months I may feel differently.
The other factor of course is wearing a bra which may be tricky for a bit. If you dont mind appearance you can go braless or when ready still get a prosthetic. I confess that i have prosthetic and still not entirely comfortable wearing as im a little sensitive in chest area.
Im 48 and im inclined to wear my scars with pride but once i go back to work and wear a prosthetic regularly that could alter my opinion too.
I had single mastectomy so I am lopsided at this point. It really is how you feel and not others. Being monoboobed is not a problem for me even without a prosthetic.
It is a very hard decision to make at a time when your head is spinning. You could ask your surgeon for other options and see what you think.
Michele