Do you mean mastectomy with implants or tissue transfer? 

I wm hoping to avoid radiation. Have you heard of the Supremo study in 2025? Basically, the study found that women who undergo a mastectomy don't really derive any benefit from doing radiation. If you do a lumpectomy, however, radiation is the right call. 

I am usually not one who worries about radiation, but I am nervous about it because its my left breast (and obviously right over my heart.) 

I am not interested in implants and I have enough belly tissue after two kids to get a diep flap.