Well, I am 55 and have same diagnoses plus HER2.
My doctors and I have chosen a double mastectomy with reconstruction.
I will also have radiation along with chemo and this will be a long healing process.
I am positive this is the right decision for me.
Of course my first goal is to be clear of cancer at the end and to manage my cancer for the future.
The cosmetic part of reconstruction is secondary to me. The mastectomy decision was easy as I believe in science and my doctors.
Hope this helps. In round 3 of chemo and feel great!