BRCA Gene in Washington DC
- Angelina Jolie carries the BRCA1 gene. With this gene, she had a 45% chance of developing breast cancer by age 70. She chose a preventive double mastectomy with reconstruction in order to lower that risk.
- Patients who carry the BRCA2 genes have a 60% chance of developing breast cancer by age 70.
- Patients who have either gene should undergo preventive mastectomies and reconstruction.
- Rad’s preferred method of reconstruction is the DIEP flap. If there is not enough fat in the abdominal area then implants are suitable.
In Dr. Rad’s hands, the DIEP Flap is the perfect option for patients who:
have plentiful abdominal fat
do not want, or can not have (due to radiation treatment), implant reconstruction
want their breasts to be rebuilt with their own healthy tissue
want to be finished with surgery forever (this cannot be said for implant reconstruction)
- Implant Reconstruction is the most popular option owing to the ease of recovery and simplicity of surgery; however, implant reconstruction often is not a good option due to scar tissue problems caused by prior breast radiation.
- LSGAP “Love Handle” Flap Reconstruction borrows love handle fat and is the most complex breast reconstructive operation in existence; Dr. Rad is 1 of only 30 microvascular surgeons worldwide who is able to perform it.
How It’s Done
- Dr. Rad often performs immediate, one-stage reconstruction (DIEP flaps at the time of the double mastectomy) for prophylactic mastectomy patients.
Breast reconstruction is safe and is performed under general anesthesia and a short hospitalization is standard for most reconstructive procedures.
Dr. Rad works with a board certified anesthesiologist and performs surgery in the top hospitals in the Washington DC and northern Virginia area.
BEFORE + AFTER
This 36 year old woman had a gene that predisposed her to multiple types of cancer including breast cancer and liver cancer. She underwent a prophylactic double mastectomy operation. Dr. Rad performed Bilateral DIEP Flaps reconstruction in a single stage.
Photos are of patients who have given explicit written agreement to have them displayed. For patient privacy reasons, the majority of Dr. Rad’s patients prefer their before/after photos to remain off-line. However, Dr. Rad will be happy to show you, in the setting of a confidential consultation, a series of before/after photos, not displayed here, to address your specific concerns.
*SHERBER+RAD cannot guarantee specific results. Individual results may vary.