If you think you need a second opinion, you probably do. My husband and I had looooong talks about this same issu. I visited lots of websites, read everything I could, and talked to lots of women who had coped with the same confusion. It's been eleven months since my surgery, and I'm still glad I didn't succumb to the SOP (standard operating procedure) in place that may or not be there as a "just in case" scenario. The bottom line for me was that the minimal benefits came with major side effects that I knew would not be worth it. There are absolutely no guarantees about what will be best for you. I think that may be the hardest thing to accept. We want the medical to fix everything, and that's just not realistic.
One other thing: my surgeon went to a conference about the timing of the first post-surgery mammogram. Since my mammograms were always painful, I was dreading the thought of getting my tender breast mashed flat at six months. Lo and behold, he called and sais that, for me, waiting until a year after surgery would be fine. The fact that I form keloids may have had something to do with it. However, he also said that scar tissue can result in false positive readings. Seems logical, yes?
My advice is to talk to as many people as you can. If you decide not to have any adjutant treatment right away, you may be able to change your mind later. Ask your doctor.
Good luck! And let me know how it goes.
And huge props for kicking the smoke habit!