I haven't had a reconstruction yet - just a mastectomy with a silicone expander - i find it very hard and unnatural so am looking planning on discussing with mu surgeon what my other options are next week when I have another fill of my expander. I spoke with my oncologist this week about chance of recurrence in my second breast and she said it is small and doesn't recommend a mastectomy at this stage it is all clear. I would be interested to hear what your PS discusses with you tomorrow. My onc also said it was OK to have the surgery while you are having herceptin treatment.
Good luck with your appointment.
Amanda