Big decision for women carrying the mutated gene...but worthwhile if it lessens the risk of breast cancer 90% , so you might need a plastic surgeon at some point in time...BD 

You can't get breast cancer if there's no breast. That's the logic behind elective or prophylactic mastectomy. Prior to the introduction of the procedure, mastectomies were performed on women already diagnosed with breast cancer. Within recent years, the number of breast cancer "previvors" has increased. Women are taking steps to beat cancer to the punch. Carrying the mutated BRCA1 and BRCA2 genes, a family history of breast cancer or a previous bout with breast cancer can increase a woman's chances of getting breast cancer to 85 percent.

Most women undergoing the procedure are BRCA mutated gene carriers in their 20s or 30s. Some have already battled breast cancer or had a family member die from the disease. Having an elective mastectomy lessens the risk of developing breast cancer by 90 percent.

Elective mastectomies on the rise -- Newsday.com

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