Urgent Surgery advice

I don’t think I’d try to save my breast tissue at any cost. It would depend on a number of factors: tumour size and grade, breast size, importance of aesthetic outcome to you etc. I chose to have a nipple/skin sparing mastectomy because I had multifocal and simultaneous bc, so there was a lot of activity going on in there. I thought just take it all away to ease my worry. But there was the possibility of needing radiation, so I had tissue expanders inserted. They are great for radiation. So Dr Rippy’s suggestion sounds better for me. After radiation, if you take a break of about 6 months, that should give your skin enough time to heal so that putting implants in would be more successful. Radiation does change the skin and shrinks it, but implants are still successful in lots of ladies, especially with a fat transfer. 

Of course you could try and save your natural breasts with a mammoplasty, then you could still have radiation. Def an option I think. 

In regards to surgeons, I’d strongly recommend Eva Nagy. She’s very well trained in all these procedures, especially breast conserving surgery (mammoplasty). I know a few ladies who are very happy with her work, myself included. She’s a bright spark in the bc world. She also works with Dr James Southwell Keely for DIEP procedures. You pretty much can’t go wrong with her. Feel free to PM for more info if you’d like.
Anyway, good luck with your decision. Just please do more research in the time you have to be sure you’re happy with what you choose ♥️