Prophylactic mastectomy is surgery to remove one or both breasts in order to significantly reduce the risk of developing breast cancer in the future. Women who consider prophylactic mastectomy include women with a strong family history of breast cancer, women who have tested positive for a genetic mutation including BRCA 1 or BRCA 2, and women who have a personal history of breast cancer. The decision making process for prophylactic mastectomy may be overwhelming. Understanding the role of breast reconstruction , and breast reconstruction outcomes significantly improves the decision making burden for many women.
Patients undergoing prophylactic mastectomy may be candidates for procedures that preserve the nipple and areola (Nipple Sparing Mastectomy) and allow for breast reconstruction techniques that provide the most natural appearing breast following reconstruction. Breast reconstruction for prophylactic mastectomy is done immediately following the mastectomy (at the same time), minimizing the perception of a breast deformity and allowing a women to feel “whole” and maintain her sense of femininity while moving through the process to reduce her risk of developing breast cancer.
These techniques include sparing and preserving viability to the nipple areola complex, autologous flap reconstruction, implant based reconstruction and fat grafting.
For women at high risk of developing breast cancer, it is important to discuss all of the options for breast cancer risk reduction and to consider the options for the most natural and beautiful breast reconstruction available.
Dr Lynch is board certified in plastic and reconstructive surgery, fellowship trained in microsurgical techniques, specializing in breast reconstruction. Dr Lynch consistently works closely with you and your mastectomy surgeon to plan individualized breast reconstruction for the most beautiful and comfortable breast reconstruction result.