Is nipple sparing mastectomy safe for brca 2?

Yes. Many studies have been published demonstrating this option to be safe, both for treatment of breast cancer and prevention in women with brca mutations. No surgery will take the risk of subsequent breast cancer down to zero--there is always some breast tissue left behind, albeit microscopic. Therefore, it stands to reason that the more left behind, the higher the risk; yet, it remains quite low.
Yes. Nipple sparing mastectomy-where the nipple is preserved but the breast tissue is removed-is a great option for brca 2 patients. Prior to the surgery, cancer should be ruled out. If there is cancer present, it should be away from the nipple. The results can be great.
Yes. but safety can vary with breast size: the smaller the safer, in general- if by safety you refer to the aesthetic outcome (I'm assuming you're including immediate reconstruction with acellular dermal matrix and implants in the equation). Serious complications are usual in general and depends mostly on physiologic health rather than age per se.

Related Questions

Brca 2 pos. Age 68 is mastectomy recommened?

C genetic counselor. Women who have the brca2 mutation have an increased risk of developing breast(50-80%) and/or ovarian(15-25%) ca, as well as other GI malignancies. Prophylactic mastectomy is one of a number of options to reduce this risk, as is close surveillance (mammograms, breast mri), and chemoprevention (tamoxifen, etc). The best advice is tailored to your specific condition--see a genetic counselor first. Read more...
Options. I recommend you meet with a genetic counselor and have family members tested as well. Bilateral mastectomy is an option as is close monitoring with mammogram and mri. I highly recommend you consult a breast surgeon and be followed in a high risk program. Please explore all of your options. Read more...
It is an option... ...But not the only one. Any person with an inherited cancer trait or a strong family history of cancer should discuss their management with a specialist in cancer genetics. No such thing as one size fits all. Good news is that by knowing you have a mutation, you have the tactical advantage. Best to you. Read more...