Facing an increased risk of breast cancer can feel overwhelming. For some patients, choosing a preventive mastectomy is a powerful way to take control of their health and future. Guided by expert breast surgeons like Dr. Anjeanette Brown, Premier Surgical Network assists high-risk individuals through every step of this deeply personal decision with compassion and clarity.
What Is a Preventive Mastectomy?
A preventive mastectomy, also known as a prophylactic mastectomy, is surgery to remove one or both breasts to significantly reduce the risk of developing breast cancer. Unlike a therapeutic mastectomy, which is performed after a cancer diagnosis, this procedure is proactive and intended for those at high risk.
There are different types of preventive mastectomy. Some patients may undergo a total mastectomy, while others may be candidates for nipple-sparing mastectomy, which preserves the nipple and skin for a more natural-looking result. The ultimate goal is to reduce breast cancer risk while honoring the patient’s personal values and desired outcomes.
“Preventive mastectomy can be a life-changing decision—it allows patients to take back control before cancer has the chance to,” says Dr. Brown.
Who Might Consider This Procedure?
Preventive mastectomy is often considered by patients who are at significantly increased risk of developing breast cancer. This may include:
- People with BRCA1 or BRCA2 gene mutations. This significantly increases lifetime breast cancer risk.
- Those with a strong family history of breast or ovarian cancer.
- Patients who have undergone radiation therapy to the chest at a young age.
- Individuals are identified as high-risk through genetic counseling or risk assessment tools.
If you fall into any of these categories, talking to a surgeon with specialized experience in breast cancer prevention is an essential first step.
The Surgeon’s Role in the Process
Our surgeons play a critical role in helping high-risk patients make informed, confident decisions about preventive mastectomy. That begins with a comprehensive risk assessment, where we review personal and family history, genetic testing results, and other relevant factors.
From there, we guide patients through a shared decision-making process, clearly explaining the benefits, risks, and options available, including choosing not to undergo surgery. Our team also coordinates care with genetic counselors, oncologists, and plastic surgeons to ensure a seamless, supportive experience.
“We never pressure our patients to choose surgery. Our role is to educate, support, and empower them to make the decision that’s right for them,” says Dr. Brown.
Whether you're seeking a second opinion or just beginning to explore your options, we’re here to help.
Surgical Options and What to Expect
Every patient’s surgical plan is tailored to their individual risk and goals. Common surgical approaches include total mastectomy and nipple-sparing mastectomy, often performed with immediate breast reconstruction. Reconstruction may involve implants or natural tissue transfer, depending on the patient’s preference and medical suitability.
“We consider the patient’s breast anatomy, cancer risk level, and reconstructive goals when determining which surgical option is most appropriate,” says Dr. Brown. “For some, preserving the nipple and skin may be a safe and supportive choice. For others, a more extensive approach offers greater peace of mind. It’s about aligning medical best practices with what the patient values most.”
Most patients spend one to two nights in the hospital and return to light activity within a few weeks. Our surgeons use minimally invasive and hidden scar techniques whenever possible to reduce pain, preserve aesthetics, and support a smooth recovery.
We Can Help Support Your Decision
Choosing preventive mastectomy is a deeply personal decision, and you don’t have to make it alone. At Premier Surgical Network, we believe in empowering patients with the knowledge and support they need to feel confident in their care.
If you’re at high risk for breast cancer, connect with one of our experienced breast surgeons. We’ll walk with you every step of the way, from risk assessment to recovery, offering the personalized, compassionate care you deserve. Schedule a consultation with one of our surgeons to take the next step.
