Tumor has shrunk! But now other things to think about.. Help!

sWent to see my surgeon.   I have had 4 chemos and still have two more left.  WE did ultrasound and the tumor has shrunk significantly!  yea for that..She said my lymph node is a little swollen but was not concerned as she said that it was do to something else.  

But my main concern is the type of surgery she wants to do.   I did test negative for the BRAC.  but she said that my insurance did  not apporve some other gene tests she submitted.  So anyhoo.  Oh Yea..  I forgot to mention, I have implants. 

o.k.  here it goes,  She wants to take everything out!  Tissue, implants, on both sides and have me put in new implants!  '

Now, when i saw her a few months ago, before the results of the BRAC test, she said that if it  came out positive, that i would have to have that kind of surgery.  So now i am confused as to why she still wants to do this even though the BRAC came out negative.

I asked the surgeon, what if i don't want new implants.  Then she said, then do you want to just have skin hanging and a bunch of scares.  I was just hoping to take the lump out. whatever is left, and lympnodes, and implants, then have a lift with my left over tissue. 

So with that, she then said if i keep tissue, then i will need radiation!  HUH? Plus i still have to go back with Herceptin therapies too...  And the past few months i have been told i might have a autoimmune disease, so radiation, i could not do.

What do I do?  The surgeon is really pushing for me to have everything out. and new implants in.  Has anyone had this done.  And i don't want to be this big breasts anymore,  can i go with smaller implants, and not be sagging.

I understand the surgeon wants to make sure that i don't get cancer again.  She mentioned that!  I am just confused a little bit.

Also, as far as insurance.  Will insurance cover new implants?  And the whole surgery?  Because now i have to look around for a plasitic surgeon too.  The breast surgeon gave me two refferrals.  But not sure if i will llike them,  one is a hand plastic surgeon.  Now why would i want someone who does on hands working on my breasts?  LOL!

 I do have someone that i like, but they are not a refferral.  can i go with someone that i want by personal choice and insurance cover?  I

I have a lot of questions here i know,  and i appreciate all input!

Thanks in asdvance!

Christa