Reconstruction covers a wide range of options. Two years ago at 75 I had a lumpectomy followed by a reduction on both breasts from ddd to small c during which nipples were removed and then placed back on smaller breasts. It went really well and I’m glad I did it. I had various risk factors
but no problems with surgery or recovery despite them and my age.
Ultimately it’s up to you to decide what you want to do. Best wishes and thoughts.