Save Your Breast

A Kinder, Gentler, More Beautiful Approach to Breast Reconstruction

Prophylactic Mastectomies

Women who are at high risk for developing breast cancer may choose to undergo a preventative surgery to remove both breasts. This life-changing procedure is known as a prophylactic mastectomy.

What are the benefits of a prophylactic mastectomy?

  • Women can dramatically reduce their risk of developing breast cancer (up to 95 percent).
  • A preventative mastectomy may provide you with more options for breast reconstruction than after a breast cancer diagnosis.

Is a prophylactic mastectomy right for me?

Though a prophylactic mastectomy can dramatically reduce a woman’s risk of developing breast cancer, Dr. Nirav Savalia understands the extremely difficult decision of moving forward with this procedure. It is important to have a strong support team of friends, family, and your breast cancer team when considering this surgery. Dr. Savalia will speak with you about your options and help decide the best approach for your reconstruction.

It is important to understand the impact this surgery can have on a woman’s life. A prophylactic mastectomy may cause a significant loss of breast and nipple sensitivity. Women may also experience heightened anxiety or depression following the initial removal of their breasts.

However, the benefits can also be incredibly life-changing and positive. Those who are at high risk of developing breast cancer can reduce their risk by up to 95 percent. Preventing breast cancer can help women avoid the difficult battle with the disease, including chemotheraphy. A prophylactic mastectomy also means that women will have more options regarding type of mastectomy and reconstruction.

Dr. Savalia encourages women to thoroughly research their options before making any sort of decision and wants them to know of the different types of reconstruction available. He specializes in several different reconstructive breast procedures, such as oncoplasty, that can restore an extremely natural look and feel of the breasts.

A prophylactic mastectomy may be a strong option for women who:

  • Have a family history of breast cancer
  • Have tested positive for a BRCA1, BRCA2, PALB2, CDH1, PTEN, or TP53 gene mutation
  • Have been diagnosed with breast cancer in one breast already

Famously, in 2013, actress Angelina Jolie announced her decision to undergo a prophylactic double mastectomy after discovering she carried the BRCA1 gene.

What to expect from a prophylactic mastectomy?

Dr. Savalia will discuss your reconstructive options for prophylactic mastectomy with you and make recommendations based on your specific situation and goal outcomes.

A simple or total mastectomy consists of removing the complete breast (tissue, nipple, and areola). A skin-sparing mastectomy consists of the removal of skin of the nipple and areola and removing the breast tissue through the small opening. A nipple-sparing mastectomy removes all of the breast tissue while leaving the nipple intact. The type of mastectomy performed will determine which breast reconstruction options will be best for you.

Women who have prophylactic mastectomies are also often good candidates for a direct to implant reconstruction or a staged tissue expander reconstruction.

Get in Touch with the Save Your Breast Team

If you have questions about breast reconstruction, my staff and I are happy to help. By working with a team of Southern California's most experienced breast reconstruction surgeons, radiologists, and nurses, we are able to provide women with the best possible options for one of the most life-changing and rewarding surgeries. Please contact us online or call (949) 759-0980 for more information.

Dr. Nirav Savalia


Dr. Savalia is known for the most innovative, advanced breast reconstruction techniques. He is a board certified plastic surgeon and artist who creates the most natural, elegant, personalized aesthetic results. He is as renown for his care and compassion as he is for extraordinary outcomes. This is why he was named one of Orange County’s Physicians of Excellence by his peers.

A Team Approach for the Best Breast Care Possible

Dr. Savalia’s Breast Health Center team includes the finest oncologists, radiation specialists, geneticists, and nurse navigators. Being cared for by an established team is a great advantage for patients.

"I prefer a light-handed approach that leaves my patients looking visibly rejuvenated, not surgically enhanced."

What Dr. Savalia's Patients Are Saying


Dr. Savalia is a very gifted surgeon and has true artistic ability. I would HIGHLY recommend Dr. Savalia for any type of plastic surgery. He truly exceeded my expectations. I feel very fortunate to have worked with him and his team and if I ever have any need for a plastic surgeon in the future he will be my first choice.

- RIMA, AGE 55

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