Patient is a 33 year old female who is BRCA2+ gene positive. She decided to do a bilateral breast nipple-sparing mastectomy along with breast reconstruction at the same time.
Patient is premenopausal. She got her genetic testing after many of her family members were diagnosed with breast cancer and also tested BRCA 2 +. Patient had a family history of cancer: mother, aunts, grandmother. Her sister was also BRCA 2+.
Patient desired to have breast Tissue Expander reconstruction for her first stage. This surgery was completed 11 weeks after her initial consultation. Patient then went on to complete surgery to remove her bilateral breast tissue expanders and placement of permanent silicone gel breast implants. The surgery to remove her tissue expanders and place her breast implants was 11 months after her initial surgery. While the patient could have had her implants placed earlier, she preferred to wait a few more months in between her reconstruction. Patient is extremely happy with her breast reconstruction and the choice to have a prophylactic mastectomy.
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