I agree with SAm White. I had stage 1a, lumpectomy with no node involvement. I also had a recurrence in 18 months, same breast. I had a bilateral mastectomy and I don't regret either surgery. Talk with your surgeon. Mine was relieved I opted to have the mastectomy, although she would have done another lumpectomy if I wanted to go that way. I had immediate reconstruction at the time of the mastectomy. Implants are small, only so much skin to go around, but it fills out my clothes. Good luck. It will be ok.