My breast surgeon and plastic surgeon perform the operation at the same time. Able to do reconstruction- didn’t need extender since I wasn’t going larger and didn’t care if smaller. Just wanted the cancer gone and was lucky he was able to do it then. Plastic surgeon performed skin and nipple sparing surgery with nerve grafting to try and get some feeling back down the road. I was told if it does recur it will be in the skin and most likely within the 1st 2 years