So sorry you are facing this again. I had a single mastectomy in May last year. I was not able to have immediate reconstruction and did think initially that I would have the other breast off and double reconstruction after chemo and radiation.
But at this stage I have made lots of changes to my life and I am satisfied with using a prosthesis and keeping my 'good' breast. I recently had to be refitted for a prosthesis as I had lost about 9 kilos. I had gone down 2 sizes and it did run through my head that this would have been a problem with a single implant reconstruction.
You can always do further surgery later on but make sure whatever you decide is what you really want. Things can change. Take care. Deanne xxx