What to expect from a skin sparing bilateral mastectomy with reconstruction?

37yts old and I've have tumors removed for the last there years but the keep growing back, my body rejected tamoxifen and I'm in the 4th year of my gantics test my five year % was 49.99%, I'm very high risk and a long family history breast cancer and colon cancer on both side of my family. Should I be worried that the skin sparing bilateral mastectomy won't work for me . I also have very dense breast tissue and PASH

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