No reconstruction after double mast

I'm 56 and I do try to be as active as possible (when Letrozole lets me) - kayaking, SUPing, walking.  And I like to be able to do things with my teenagers rather than just watch from the sidelines holding the bags.  So movement and strength is important to me.  I would love for someone to wave a magic wand and for a new breast to appear (not the old one - that was evil) but the idea of going through major surgery and recovery, plus the potential for muscle weakness, stops me cold at the moment.  I'm keeping my options open but kind of glad that the surgeon said that the skin is way too tight still.