hi Emma I have small breasts and was so conflicted for ages, it's not easy. I had multicentric cancer so didn't need chemo or radio but needed a mastx and was a candidate for immediate recon. While I was researching what to do, I came across a woman similar to you - she had a skin sparing mastectomy while radiotherapy was being done to preserve her skin envelope and then diep recon (own tissue afterwards). 10 years on she felt it was the right decision, she even got a flat stomach out of it - but it does depend on you having ample fat around your abdomen. If you want to increase your breast size though, I think that is also possible - you could ask your surgeon how best to achieve this. You might have to be upfront with the surgeon and have a conversation about making both bigger as you might be happier with going through the whole process if there is a chance of better boob shape at the end! It's quite something to go through if you don't like your boob volume. I spoke to one woman who said that she might as well get something good out of a crap situation and asked for bigger boobs, & her surgeon offered that option using implants. I didn't want to modify my one healthy one, I quite like it, but was worried that if I didn't modify both - as I got older the healthy one would droop further and the new one would sit proud and high on chest so I didn't go for that. The option I chose was simple mastx as recovery shorter, less invasive op and actually with small boobs very feasible to look symmetrical with a pad or small prosthetic. There are some funky things you can wear nowadays, you can have your own bespoke underwear made. It's ok, I was devastated before the op just contemplating my changed body, I thought it was so unfair, but now am ok with it. You can't notice it when I have my clothes on. Good luck with deciding - I would be really clear with the surgeon about what you want out of it. take care, x
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