This is a reasonable choice as both work just as well for curing most early breast cancers. If you have a mastectomy, an immediate reconstruction at the time of the cancer operation can be done. Often this is accomplished by placing a tissue expander that is slowy increased in size to stretch the skin and tissues over the chest and make enough space to put in a new artificial breast implant
a few months later. Many plastic surgeons are now using some alloderm over the tissue expander as well to provide a surface for the new skin to grow in and also help get the area to the correct size more easily. I have seen many patients with excellent cosmetic outcomes with this procedure. There is really no special preparation that needs to be done before the operation.
The main considerations in deciding whether to proceed with this type of reconstruction or not are:
1) what is the chance that radiation therapy
will be needed after surgery? If it is likely that radiation will be necessary the tissue expander reconstruction route can still be done, but you need to discuss the implications of the radiation on the reconstruction with all your doctors.
2) what is the chance that you have a breast cancer
susceptibiilty gene that would predispose you to getting a cancer on the other side? Sometimes genetic testing
should be done before surgery to help you decide if you should have both breasts removed and get both reconstructed at the same time.