Breast plastic surgery

Prophylactic

mastectomy

Prophylactic

mastectomy

Preparing for appointment to check eligibility for prophylactic mastectomy with reconstruction

Breast reconstruction

with expander and implant

 

Preventative mastectomy is intended for patients with high and very high risk of breast cancer who meet at least one of the following criteria:

 

– BRCA1 or BRCA2 mutation confirmed by a genetic test

– positive family history:

(a) two cases of breast cancer in first-degree relatives who are 50 years of age or less, or three cases in relatives of any age

(b) bilateral breast cancer in first-degree relatives (simultaneous or non-simultaneous, synchronous / metachronous)

(c) breast and ovarian cancer in first-degree relatives

(d) positive coarse-needle biopsy for proliferative breast disease with atypia

 

Records recommended for the qualifying appointment Current breast NMR and other imaging test results (ultrasound, mammography)

 

Psychological consultation on informed consent for mastectomy to reduce the risk of breast cancer
Results of genetic testing

Useful

information

Procedure duration

ca. 120-180 minutes

Required lab tests

blood group, complete blood count, ESR, clotting screen (APTT and INR), creatinine, glucose level, electrolytes (Na, K), urine test, hepatitis B vaccine, ECG, breast ultrasound, BRCA1

Type of anaesthesia

general

Length of stay

24 hours

Convalescence

ca. 14 days

Suture removal

on day 8 to 10

Dressing change

on day 3 to 10

Contraindications

bleeding diathesis, coagulation disorders, unregulated high blood pressure, unregulated diabetes, purulent infection of the skin and mucous membranes, pregnancy

FAQ

Frequently asked questions

How long do I have to wait after breast removal surgery before I can begin with reconstruction?
Are there any complications after masectomy?
Is prophylactic mastectomy reimbursed by the National Health Fund?
When can I have mastectomy after chemotherapy?
When is mastectomy necessary?
How long does the pain persist after the procedure?
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