I didn’t have much of an option about a mastectomy ( full or partial) but did not elect to have bilateral removal. Circumstances may have an impact (ie any family history, I had none). One option may be to have a single mastectomy and reconstruction and see how you feel. Can always elect to have the second op if you feel comfortable and your reconstruction experience has been as you would wish. As the second mastectomy is preventative, time is on your side. Best wishes for whatever you decide, it’s a hard call but most make the choice that’s right for them.