Prophylactic Mastectomy

Prophylactic mastectomy is a good option for patients who are at high risk of developing breast cancer. In certain situations, prophylactic mastectomy can reduce the risk of developing breast cancer by 90%-95%. 

If any of the following apply to you, you are a candidate for prophylactic mastectomy:

  • a positive test for a genetic mutation that predisposes to breast cancer (eg BRCA1, BRCA2, PALB2, CDH1, PTEN, or TP53)
  • several family members who developed breast cancer (including mother, sister, or daughter), especially before age 50
  • a particularly aggressive or invasive breast cancer
  • high risk histology on biopsy (eg "invasive lobular" disease or "lobular carcinoma in situ")
  • multiple tumors in the same breast
  • very young age at the time of the first breast cancer diagnosis
  • chest radiation before age 30 

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Patient Stories

Michelle from San Antonio, Texas,

Was I really going to this? What would I look like? Who voluntarily does this I thought to myself…. I do!! This is to save my life.

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Glynna from Boerne, Texas,

After losing her mother and aunt to breast cancer, Glynna shares her truly empowering experience with choosing to undergo preventative mastectomy with immediate DIEP flap breast reconstruction.

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Kim from Blanco, Texas,

​One year ago, Kim chose to undergo bilateral prophylactic mastectomy to reduce her risk of breast cancer. After discussing all options with her plastic surgeon, Kim decided DIEP flap breast reconstruction was the best option for her.

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Ruth,

To reduce her risk of developing breast cancer, Ruth chose to undergo a prophylactic (or preventative) mastectomy. After researching all of her options, she chose to also undergo immediate DIEP flap breast reconstruction.​

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Emily from Midland, Texas,

After testing positive for the BRCA2 gene mutation, Emily chose to undergo prophylactic mastectomy with immediate DIEP flap breast reconstruction

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Carol from San Antonio, Texas,

After discovering she had a BRCA gene mutation, Carol chose to undergo bilateral prophylactic mastectomy with immediate DIEP flap breast reconstruction.

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Heather from Singapore,

Because I had already done a lot of research on breast surgeons, with the hopes of getting surgery sooner than later, I knew who I was going to trust my life to for this. I flew 9,996 miles, from Singapore to Houston, and then drove to PRMA in San Antonio.

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Dvora from Schenectady, New York,

My experience communicating with PRMA was so unique and so positive compared to my experiences with other plastic surgery practices. At other places, I felt like I was being treated like a specimen, and like I was being TOLD what I should do with my body. From my very first conversation with PRMA, I felt like I was being treated like a human being, and that I was being ASKED what I wanted to do with my body.

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Melanie from Valencia, California,

When I first looked at the pictures on the PRMA website, I could see both from the photos and the tone of the website, that the doctors at PRMA were not simply out to save the woman’s life, but to help her regain a sense of herself.

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Prophylactic Mastectomy

Prophylactic mastectomy is a good option for patients who are at high risk of developing breast cancer. In certain situations, prophylactic mastectomy can reduce the risk of developing breast cancer by 90%-95%. 

If any of the following apply to you, you are a candidate for prophylactic mastectomy:

  • a positive test for a genetic mutation that predisposes to breast cancer (eg BRCA1, BRCA2, PALB2, CDH1, PTEN, or TP53)
  • several family members who developed breast cancer (including mother, sister, or daughter), especially before age 50
  • a particularly aggressive or invasive breast cancer
  • high risk histology on biopsy (eg "invasive lobular" disease or "lobular carcinoma in situ")
  • multiple tumors in the same breast
  • very young age at the time of the first breast cancer diagnosis
  • chest radiation before age 30 

Learn More
PRMA Plastic Surgery