I have been classified as very high risk (42%)for getting breast cancer. I have not dealt well with all the worry and testing the past 1 and 1/2 years.
I do not want to be treated with Tamoxifen; oncologist now recommends bilateral prophylactic mastectomy. I am 44 years old; 5'6" and obese at 248 lbs. wear size 44D bra but would be extremely happy with much smaller breast size.
No additional medical problems except Fibromyalgia. Had abdominal hernia repair with mesh 10 years ago. What surgical option would produce the best visual/natural outcome?