I had all breast tissue removed in both breasts, nipple sparing, with silicone implants.
I wanted all breast tissue gone to lower my risks of any reoccurrence.
The skin is thin on the cancer breast. So they will do some lipo and fill it in. I actually schedule that procedure later this month.
It sounds like when they do the lumpectomy they want to do reduction augmentation to create symmetry. So they will remove tissue from the opposite breast as well so they are close to the same size.
When I was weighing my options I met with the radiation Dr. They wanted to do radiation and lumpectomy as well for me.
She agreed that I am really decreasing my chances of reoccurrence by having a mastectomy and agreed with my decision. That helped tremendously.