BB, I worry like that too, but then as a friend recently reminded me, everything has a risk, even crossing the road! I'd say if your health is good, then the risks will probably be low and psychologically it sounds like a good thing to do. Ask lots!
Pennies don't apologise, honestly your post was ever so helpful. I had immediate reconstruction mostly because the surgeon thought it might help with Rads - the implant stretches the skin or something. I'm glad I did in some ways as it gave me some shape over the summer and also let me know what an implant feels like. First question for me will be over odds on recurrence, then I'll decide from there. I think I'm similar to you in terms of not really being too fussed about my breasts. Main thing is to not let cancer get a foothold again. Though having said that I'm a bit breast obsessed too - I can't help looking at women's cleavages and worrying if they've got any cancer lurking there..
I know lots of women who are happy with theirs, but fwiw, I don't like my implant at all. To be fair it is a bit of an odd one as it flipped inside, so is upside down, which basically means it sits far too high, and is not even close to matching my remaining breast. It's also incredibly hard and tight. I think they tried to match my D cup and put too big an implant in for the skin that was left to cope with. Hard to explain, but it feels like a tennis ball is sitting under my skin and has about as much give, so very far from natural.
All of which means that I will ask lots of questions before agreeing to another reconstruction. If they can't convince me that they can do something more natural, I will probably just go with having current implant removed and maybe mastectomy of remaining breast too. A woman I met at the Breast clinic gave me a good tip - she said before agreeing to any op, ask the surgeon if you can speak to other women they've operated on, as that's a far more reliable way of finding out possible outcomes. Makes sense to me.
Got to go, but Sparkle, good luck with Dr later.