A good alternative for teh right person.

There is no exact answer to your question. The reason that subcutaneous mastectomy (removal of the breast leaving the nipple) and reconstruction is usually done is for people like you with multiple masses and an increased risk of developing breast cancer. The other thing that fits into the equation is the ease of examining the breast. Even with multiple masses and an increased risk, if mammography can easily distinguish between the masses, the procedure is generally not done unless you are having significant worries that are interfering with normal functioning. If you have masses that make palpatory detection of cancer difficult as well as problems with mammography where the radiologist can not readily distinguish benign from malignant, then the surgery is an excellent option. In people with a very high risk of developing cancer (those with significant family history, the BRCA gene, or previous biopsies with an increased risk), the procedure has been shown to reduce the incidence of breast cancer. It will not, however, eliminate the risk; just make it easy to detect a cancer by palpation. I would find a knowledgeable Plastic Surgeon who has an interest in breast disease and discuss the options with him/her.