Hi @Caz1 Be guided by your surgeon - I had a lumpectomy & mini-recon at the same time - similar to @Mira . Mine was in the Lobular - so very close to the nipple. My surgeon isolated the nipple, got the cancer out, removed the loose skin, then redistributed some of my breast fat to fill in the hole & sewed the nipple back on! I still have full sensation too!
I'd never noticed that 'that particular boob' was 'bigger' than the other one - so now they are the same size. My scar is negligible.
All the best with your decision making! xx