Breast augmentation in reconstruction, safe?

ilaam

Hi all,

I am 25 years old and I was diagnosed with Pagets disease of the nipple in the right breast three months ago. I had nipple/areola removal. Unfortunately, the pathology report showed DCIS under Pagets so I am going to have mastectomy in less than three weeks with immediate reconstruction using a silicon implant. I have an A cup. I always wanted to have a little bit larger breast but I never wanted to go through surgeries. Now that I will do it anyway, I think of telling the surgeon to put a B cup implant in the right side and to add a small implant in the left side. In other words, I want to take advantage from the mastectomy/reconstruction to go from an A cup to a B cup. If I will be obliged to change my implant every 10 years and go through surgeries different times, it is much better if at least I have the size I always dreamt of. I barely accepted my breasts because of their size and now with the scars and I don't know how the implant will look like but I don't think that I will like them anymore. Having more volume will add a good side to the whole procedure. There will be s.th that makes me glad. I'll look forward to see how my breasts changed and I'll consider the result as an improvement rather than a sacrifice and a loss. I also found that adding a little implant in the intact side will help make the breasts look more similar with aging. I will see my surgeon to discuss this before the surgery day and I'll try to convince him. I don't know yet if he will accept and what will be his recommendation but MY QUESTION IS : Do you know girls who have done this before, is it feasable I want to say? From a safety point of vue, do you think this could place me in some danger e.g. causes cancer in the healthy breast or distort my future MRI results in the healthy side? I thaught of double mastectomy but I don't really want it because of the sentinel node biopsy side effects and I assume that. Any advices/opinions/thaughts are welcome. And another request, what question should I ask before the surgery. I'm writing down any question that crosses my mind. During my appointment I haven't said a word, it's like I was unconscious. For example, I didn't ask if the mastectomy will be skin sparing or no, things like that you know. Thank you in advance.