Can I get my implants removed if I have BRCA2? (Photo)

Question

I am 48 had an anchor lift and 330cc implants placed about 20 yrs ago. Since then my mother got ovarian cancer and I found out I had brca 2 and had my ovaries removed about 8 yrs ago. My breast grew about 3 cup sizes like a triple D now. My last surveillance I had a spot that was biopsies and I saw a PS who says I need to have mastectomy w expanders and lose my nipples. That seems so aggressive. If I didn’t have brca a explant and lift could happen.

Alan Gonzalez, MD, FACS · Answer

Hello @Versatile731105, thank you for your question. To make an informed recommendation, more information is needed. This is a desicion should be made after careful discussion with your healthcare providers, including your genetic counselor, primary care doctor, oncologist, and plastic surgeon, who will guide you to the best options. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Robert M. Wald, Jr., MD · Answer

Yes, you can have your implants removed. However, you need to see an oncologist to discuss your genetics and determine if your breasts need to be removed as well. As far as a nipple sparing vs a complete mastectomy, this needs to be discussed with a general surgeon. The key now is your safety and the risks of breast cancer now and in the future.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. Thank you for sharing your story, I am sorry to hear about your experiences with BRCA2 and the health challenges you have been facing. Given your situation, it is understandable to have many questions about what the best course of action is for your breast health, especially when considering implant removal, a possible lift, or a more aggressive approach like a mastectomy. Please watch the below video to answer your question, specifically. I hope this helps! To simply answer your question: Yes, you can have your implants removed if you have the BRCA2 gene mutation. In fact, implants and breast tissue can be safely removed at any time, and it is entirely your choice weather or not to pursue a more extensive surgery like mastectomy. However, your decision should be carefully considered, especially in the context of your BRCA2 diagnosis and your personal health history. I would strongly recommend discussing your concerns with your surgeon and seeking a second opinion from a breast cancer specialist or a genetic counselor to weigh your options and find the best path forward for both your health and emotional well-being.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided. You may or may not want to keep the nipples for fear of cancer coming from the ducts nearby.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Versatile731105,
it is possible to get implant removal with BRCA 2. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

If your biopsies are premalignant or malignant, the mastectomies might be needed. If the biopsies are benign, then remove your implants, have a small reduction and lift, or go with the mastectomies. I cannot be specific without knowing your biopsy reports.

Camille Cash, MD · Answer

The short answer to your question is yes, you can have your implants removed if you are BRCA2 positive.  However it is important to explore this situation more to find out what is recommended for you.  I encourage you to visit with a few board certified plastic surgeons near you to discuss your situation and hear more about options.

Can I get my implants removed if I have BRCA2? (Photo)

Answers (7)

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