Hi Ladies, I too have had a prophylactic mastectomy and reconstruction at the same time. Because a mammogram failed to pick up my BC, I felt it would be hard to fully trust a mammogram in the future, so after one mastectomy, and chemo, I went back 9 months later to have the second one off and have tissue expanders added. I never had genetic testing, as there is no breast cancer in our family, but still didn't want the risk of getting BC twice. You only have to read these blogs to know that many, many women get BC more than once. I am very happy with my decision, and the results of my reconstruction. Love Chris xx