I was diagnosed with DCIS in right breast after a lumpectomy 6 months earlier due to atypical hyperplasia in my left breast. I did not want radiation or hormone blockers so I chose double mastectomy ( skin and nipple saving) with immediate reconstruction. I could not be happier with my decision, I am 68 but active and fit. I am 10 weeks post op and almost back to full activity. Both surgeons did a great job. As a note… the pathology showed the atypical hyperplasia was in a new spot on my left breast…. So for me the mastectomy was the way to go.