It's a very personal choice and one only you can make. I was ready to have bilateral mastectomies and go flat, but it was the oncology surgeon in the Bay Area who said there is a new way of looking at it. Doing mastectomies can cause lifelong neurological pain because they are cutting through a lot of nerves and she also explained that they cannot take out all the breast tissue and that women with mastectomies can possibly get breast cancer again. I went from "Ma Kettle" breasts to about an A size, this after my first lumpectomy. I had some nerve pain in the beginning of the healing process but that has gone away. I also still have some feeling in the breasts as well as the nipples. The breast are fairly uniform except the affected breast that underwent radiation is a little bit fuller, but not noticeably. The regular breast surgeon I saw first would have gone for the full mastectomy as it is a simpler procedure for them. In the procedure that they did on me, it required removal and then re-shaping. I believe I was in surgery for about 6 1/2 hours. However, again, this is a personal choice only you can make after looking into all aspects. I wish you all the best in your decision making…it's a tough one.