If I have the BRCA gene what are the best options or plan of attack for mastectomy and reconstruction?
Doctor Answers 6
BRCA gene and mastectomy
Best Reconstructive Plan For Woman with Strong Family History for Breast CA and BRCA gene
1.A well documented Family History and personal history ( breast cancer incidence, history of biopsies etc)
2.Your surgeon will then forward the above information to your insurance to ensure coverage
3.After coverage: Bilateral Skin/Nipple Sparring Mastectomies, with immediate Bilateral Reconstruction with High Tension Gel Sub-pectoral Implants
4.Above nice way to go because: no expansion needed, overnight stay only, no need to sacrifice your nipple areola complexes and much faster recovery.
You will be able to get taken care of if you are BRCA positive!
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Reconstruction following prophylactic mastectomy for BRCA gene
We are therefore able to treat a prophylactic patient very similarly.
My choice is to use an adjustable saline implant placed above the muscle.
The implant is placed under filled thereby avoiding pressure on the skin flaps
Once healing is assured the implant is further filled.
.The injection port is removed several months later.
BRCA and reconstruction
In one surgery you should have bilateral nipple sparing mastectomies (if you are a candidate based on the appearance of your breasts) and immediate reconstruction with expanders and/or implants or DIEP flaps if you are a candidate.
In the same anesthetic, you should have bilateral oopherectomy to remove the ovaries.
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