Hi there.
I had a recurrence in same Breast. I had had previous lumpectomy, chemo and rads. I neeeded a mastectomy and I could not have an implant reconstruction due to radiation damage to my skin. Both my diagnosis were very aggressive and both very soon after clear mammograms. My breast did not image well. I wanted a tissue transfer surgery using my abdomen. You can only do that once. It was a bit of a no brainer for me for both those reasons. Breasts not imaging well and also wanting the tissue transfer from my tummy. We are as you can see all different. I guess you need to seek professional guidance and do some more research. Then it's a matter of the lists of pros and cons. Unfortunately we don't all get a crystal ball (if only). Whatever you decide will. Be your decision and you will feel better once you reach it.
Hugs to you.
Paula xxx