2nd opinion

(((Hugs)))) I'm sorry. Do you know when your surgery will be?

To schedule the surgery - after you've found a breast surgeon you're comfortable with, call their office and they will schedule it. 

That said. if you want to have immediate breast reconstruction, ask the breast surgeon about what plastic surgeons they work with, then go consult with the plastic surgeon(s).  Decide on what type of reconstruction you want, and make sure the plastic surgeon is experienced in that procedure.

For immediate recon, you need a team of both a breast surgeon and a plastic surgeon working together (the PS takes over when the BS is done), which makes it a bit more complicated.  The surgeons all seem to have pre-existing relationships regarding who they work with, so you have to find two surgeons who YOU like and who also are willing work together as a team.  And it has to fit both their schedules.

It seems as if the medical recommendation is that you have a single mastectomy.  Make sure that a bilateral is what you really want to do.  (I know what you really want to do is wake up from the nightmare and have it all go away, but....)

Do you have help or family that live close and can help with the twins? It's a hard choice, but I had my BMX on 2/25 and can say I've only cried once since then for my "girls". I did all my crying b4 the surgery b/c I was so scared....of the unknown and all things cancer. In my case the PS called me with the surgery date once he coordinated with the BS schedule.

Birchbeer,

Let people help you.  It is only temporary and you will be back before you know it.  I think you will surprise yourself.  Pain wasn't an issue for me after my BMX, but lack of energy was, in the beginning.  After about 3 weeks, I was able to do away with my afternoon catnap.  As for scheduling, my BS and PS work together one day a week.  The BS's office will most likely take care of all the scheduling.  Good luck to you!