Do whatever makes you feel the most comfortable regarding your health. I had stage 1A and had a lumpectomy and breast reduction. And I love my smaller breasts (C to an A) however the downside is it makes mammograms harder to read because it changes the breast tissue and comparing mammogram images becomes harder. But for me so far so good however I did have a scare the past couple of weeks when I felt a palpable lump on my right side my original cancer was on the left. Thankfully I was felling my milk duct, because my breasts are so small I guess I can feel more, I don't know but I'm relieved it was nothing!