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Hi Cheryl:
I hope you get some other replies, to help you make this decision. And you have some time to research.
From every doc I talked to, I was told that her2 bc is NOT high risk for showing up in the other breast (I had IDC -- lobular is different, I think.) The only person who urged me to consider a bilat was one plastic surgeon -- for two reasons: you may have a more symmetrical cosmetic result by doing both. And: If you do a flap that harvests tummy fat, you can only take that tissue once, so if you did decide later to remove the other breast, you could not do another flap from that same area. On the other hand, 2 other plastic surgs did not urge a bilat.
I suggest you interview several plastic surgeons and get their input.
Good luck
L
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