Breast plastic surgery

Prophylactic mastectomy

+48 22 654 90 60

konstancin@drszczyt.pl

Preparing for appointment to check eligibility for prophylactic mastectomy with reconstruction

Prophylactic 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)

(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

Frequently asked questions

Breast reconstruction surgery after removal can be carried out after about a year.

Complications may occur after each surgery. One of the most common side effects after mastectomy is lympoedema.

The operation is carried out for health purposes. The procedure is carried out in sterile conditions by specialized specialists after previous tests and consultations with the attending physician.

The National Health Fund finances breast amputation in hospitals with an oncological or plastic surgery department, while in our hospital we offer commercial services.

After the consent of the attending oncologist.

Preventive mastectomy is intended for patients with a high and very high risk of developing breast cancer.

It all depends on the body and its regeneration, painkillers are given when needed.

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