To me, it seems that all choices are SHIT. LOL We have to choose the better of the crappy. I've also learned that there is A LOT of nuance in every case. It is most definitely not a one size shoe fits all. ALSO, you can start down a path and be re-routed quickly.

I chose a nipple sparing double mastectomy after chemo at the advise of my plastic surgeon and my sister (She is a nurse in a wound clinic and sees lots of radiated skin). I'd read about the nipple preservation option and requested the surgeon TRY. (The surgeon counseled that he may not be able to save the nipples because of the tumor location but he would attempt it). I am 2.5 months post surgery. The surgery was successful, NOT perfect but good. In a shirt you would never be able to tell I had a mastectomy. You can tell in a bathing suit. (I am 41 years old)

I would not change my decision if I had it to do over.

I hope you have peace no matter your decision!!