What is the treatment for hereditary breast cancer?

No different: The treatment for the primary diagnosed cancer is the same as for any other breast cancer. Additional decisions/interventions are based on the presumed increased risk of a second or subsequent breast cancer (i.e. Mastectomy instead of breast conservation and prophylactic contralateral mastectomy). Talk with your doctor to quantify your risk and discuss appropriate options.

Reconstruction: Brca 1 and 2 patient should consider undergoing bilateral mastectomies and possibly gyn surgery as well. The great news about prophylactic mastectomies for high risk patients is that incisions can be hidden in the infra mammary fold and implants placed immediately after mastectomy (no need for expanders) in most patients. Recon should be highly aesthetic and possibly improve the overall look.

Breast Cancer: Patients who are found to be brca 1, 2 or bart should be counseled on their risk of breast cancer. If they choose to undergo unilateral or bilateral mastectomies they should have immediate reconstruction. Depending on the patients lifestyle, body and expectations i help them create their reconstructive plan with their own fat, implants, flaps or some combination of these techniques.