Preventative Mastectomy
Find us on:
Prophylactic mastectomy
Preparing for appointment to check eligibility for prophylactic mastectomy with reconstruction
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
Frequently asked questions
How long do I have to wait after breast removal surgery before I can begin with reconstruction?
Breast reconstruction surgery after breast removal can be performed after about a year
Are there any complications after masectomy?
Complications can occur after any surgical operation. One of the more common adverse events after mastectomy is lymphoedema.
Is this a safe procedure?
The operation is carried out for medical purposes. It is carried out under sterile conditions by specialist doctors after prior examination and consultation with your attending doctor.
Is prophylactic mastectomy reimbursed by the National Health Fund?
The National Health Fund finances breast amputations in hospitals with oncological or plastic surgery departments. Our hospital offers commercial services only.
When can I have mastectomy after chemotherapy?
Once you’ve received consent of your attending oncologist.
When is mastectomy necessary?
Prophylactic mastectomy is for patients at high and very high risk of breast cancer.
How long does the pain persist after the procedure?
It all depends on your body and how it recovers, but you will be administered painkillers, if necessary.
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 |
Preventative mastectomy - Price
|
Treatment |
Price from |
Price to |
|
|---|---|---|---|
|
1 |
Simple Breast Amputation |
2 900 € |
3 300 € |
|
2 |
Subcutaneous Breast Amputation with Simultaneous Reconstruction with a Silicone Prosthesis |
4 200 € |
5 500 € |
|
3 |
Subcutaneous Breast Amputation with Simultaneous Reconstruction with an Expander |
4 200 € |
5 500 € |
|
4 |
Subcutaneous Bilateral Breast Amputation with Simultaneous Reconstruction with Expanders / with Prostheses |
5 500 € |
7 700 € |
|
5 |
Double-sided Subcutaneous Breast Amputation with Simultaneous Reconstruction wih Expanders / Silicone Prostheses Using ADM/TIGR |
8 600 € |
10 800 € |
