prophylactic mastectomy for larger breasts

I would suggest that you meet with at least two PS's to get their advice and experience. Be very clear in what you would like to have so that they can be very honest about your options.

I'm was the same.

My surgery is broken into two parts. My first part was a reduction and lift. I went from a DD to a C.

The next surgery is a nipple sparring mastocemy with direct implant.

I will have four months of recovery between the two. I'm been trying to loose 15lbs. I want to go from 145 to 130.

I think they have only been doing it this way since 2015. I'm having it done at NOLA. So far so good.

Hi everyone. I have a similar/follow up question if anyone could help. I am also planning a prophylactic mastectomy due to strong family history. I am wondering if immediate reconstruction (without nipple sparing) is an option for larger breasted people? I have read somewhere that you must do nipple sparing in order to do immediate reconstruction - is this true?

I would love my breast size to be smaller post-reconstruction but I have heard I may need to do a reduction first - like many of you mentioned having done. Does anyone know if even a little bit smaller without a separate reduction surgery is possible? My bra size is currently a 32F and have large areolas. I'm wondering if the removal of those might contribute to a smaller breast size? (not sure if this is a silly question - new researcher on this...I have a consult with a PS in a month but am just curious if I could get some answers sooner)

Thanks so much for any advice or info!

Hello ladies. I am BRCA1 positive and just had a preventative double Mastectomy on December 15. I was a DD. After consults with a my oncologist and a couple of Plastic Surgeons we decided to go not nipple sparing and this was due to the risk that would still exist because of my mutation. I also asked about a direct implant option because I didn’t really want to have expanders. The two plastics surgeons that I spoke with said that with larger breasts, direct implant arevery difficult. So I went with expanders and they are a treat. Not. Anyway, I just wanted to share my experience and wish you the best of luck in your decision making process.

I had the same concern wanting to save the nipple as was told something similar to above. I am a D , I would have to have a breast reduction to a C 1st then complete mastectomy and reconstruction.

I found out I am BRCA 2 positive in july 2017. I had my tubes and ovaries removed. I had consult with plastic surgeon last week and she said I could get a breast reduction as nipple are a little low for breast implants. I am a 36D. Then second surgery bilateral mastectomy and tissue expanders and third surgery breast implants. I hadn't heard that with gene positive that nipple sparing remains to increase risk of breast cancer.

if you are large breasted the problem with implants is that they max out in size and often aren’t big enough to replace the tissue lost during mx. Natural tissue recon, on the other hand, can often be a viable alternative. In addition, the recon can be done at same time as mx, the results look & feel more natural than implants, the breasts are soft & warm, they move with you and they will age with you. Plus no need to ever replace them for those that are on the younger end of the age spectrum. You can learn more about these types of procedures at the link posted below. I was a 36C/D, initial natural tissue recon gave me 36 DD-DDD. I opted to reduce later back to 36C/D. And I am thrilled with my results. Feel free to ask any questions you may have.

www.breastcenter.com