If you’ve tested positive for a BRCA1 or BRCA2 gene mutation, you’re not alone, and you do have options. At Snyder Plastic Surgery, we understand that choosing a prophylactic mastectomy is a deeply personal and proactive decision to reduce your risk of breast cancer. We specialize in BRCA gene reconstruction and breast reconstruction after BRCA mastectomy using both implant-based and autologous techniques. We’re here to help you move forward with compassion, expertise, and personalized breast reconstruction solutions.
Led by board-certified plastic and reconstructive surgeon Dr. Ned Snyder IV, our team offers advanced reconstruction techniques designed to restore your body and your sense of self. We proudly serve patients in Austin, Round Rock, and surrounding Central Texas communities.
Understanding BRCA Gene Mutations
BRCA1 and BRCA2 are genes that help repair damaged DNA. When mutations occur in either of these genes, the body’s ability to prevent breast and ovarian cancer is significantly reduced. According to the National Cancer Institute, women with a BRCA1 mutation have up to a 72% lifetime risk of developing breast cancer, while BRCA2 mutations carry up to a 69% risk.
For many women, learning they carry a BRCA mutation prompts a proactive approach, such as prophylactic mastectomy, to reduce their cancer risk. If you’re considering this path, breast reconstruction can help restore your body image, self-confidence, and sense of control.
The Surgical Process: What to Expect
Reconstructive surgery following a BRCA-related mastectomy is a major milestone—physically and emotionally. Understanding the steps involved before, during, and after your procedure can help ease anxiety and build confidence as you prepare for what’s ahead. The overview below walks you through the surgical process so you know what to expect at every stage.



Restoration with Purpose
Before & After Photos
View before and after images of patients who chose breast reconstruction after testing positive for a BRCA gene mutation. See how personalized surgical plans can restore balance, confidence, and peace of mind.
View Our GalleryBRCA Mastectomy Reconstruction Options: Implants vs. Natural Tissue
At Snyder Plastic Surgery, we offer both implant-based and natural tissue (autologous) breast reconstruction methods. Your treatment plan will be tailored to your body, goals, and medical needs.
Implant-Based Reconstruction
This method involves using saline or silicone implants to rebuild the breast mound. It can be done in one or two stages, often starting with a tissue expander placed at the time of mastectomy.
Benefits:
This surgical option often involves shorter surgery and recovery time. There is also no need for additional donor site surgery.
Considerations:
This option may require implant replacement over time and may result in a less natural feel compared to tissue-based reconstruction.
Autologous (Flap) Reconstruction
This technique uses your own tissue, often from the abdomen, thighs, or back, to reconstruct the breasts.
Types include:
There are various types of autologous flap reconstruction options, including DIEP flap (deep inferior epigastric perforator), TRAM flap (transverse rectus abdominis muscle), and Latissimus dorsi flap.
Benefits:
Benefits include a natural look and feel, permanent results, and no implants required. Autologous procedures like DIEP flap offer natural breast reconstruction after BRCA mastectomy, using your own tissue to achieve long-lasting, realistic results.
Considerations:
This option often includes a longer surgery and recovery, and additional scars at the donor site.
Dr. Snyder will walk you through all options, helping you make an informed choice that supports your long-term well-being.
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patient reviewsWho Is a Candidate for BRCA Gene Reconstruction?
Ideal candidates for breast reconstruction following a BRCA-positive test include:
- Women undergoing prophylactic mastectomy due to BRCA1 or BRCA2 mutations.
- Patients in good overall health with realistic expectations.
- Those considering either immediate reconstruction (at the time of mastectomy) or delayed reconstruction (at a later date).
Dr. Snyder will collaborate closely with your breast surgeon and oncology team to determine the right timing and technique for your reconstructive procedure.
Emotional and Psychological Support
Choosing breast reconstruction after a BRCA-related mastectomy is both a physical and emotional journey. It’s normal to feel a range of emotions—relief, anxiety, grief, empowerment, or uncertainty. At Snyder Plastic Surgery, we recognize the emotional weight of this experience and approach every patient with empathy and understanding.
While we focus on providing excellent surgical outcomes, we also support the whole patient. If you’re looking for additional resources, we’re happy to refer you to local counselors, support groups, or survivorship programs to help you navigate this chapter with confidence and clarity.
Why Choose Snyder Plastic Surgery?
Choosing where to undergo breast reconstruction after a BRCA-related mastectomy is an important and deeply personal decision. At Snyder Plastic Surgery, we bring more than just surgical expertise; we offer compassionate care tailored to your individual needs and emotional journey. Led by board-certified plastic and reconstructive surgeon Dr. Ned Snyder IV, our team specializes in advanced breast reconstruction techniques, including both implant-based and autologous options like DIEP flap procedures.
With state-of-the-art facilities in Austin and Round Rock, we provide a supportive and welcoming environment where your safety, comfort, and outcomes are our top priorities. We believe that reconstruction is not just about restoring your body; it’s about helping you reclaim your confidence and move forward with strength. Our patients choose us for our attention to detail, our commitment to personalized care, and the peace of mind that comes from knowing they are in the hands of a skilled and experienced team.
Frequently Asked Questions About BRCA Gene Reconstruction
Can I have breast reconstruction at the same time as my mastectomy?
Will my reconstructed breasts look and feel natural?
What if I already had a mastectomy without reconstruction?
Is nipple-sparing mastectomy an option for BRCA patients?
How do I decide between implants and natural tissue reconstruction?
Schedule a Consultation
If you have recently tested positive for the BRCA1 or BRCA2 gene mutation, we invite you to Snyder Plastic Surgery to meet Dr. Snyder. He is highly skilled in a variety of techniques, such as implant-based, autologous tissue, or skin and nipple-sparing reconstructive surgery.
During a consultation in our Austin-area office, we can evaluate your case to see which procedure will suit your needs. We welcome patients exploring BRCA1 reconstruction surgery and BRCA2 reconstruction options. There are many options, including a DIEP flap and implant-based reconstruction following prophylactic mastectomies.
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For additional information about our services, procedures, and the patient experience at Snyder Plastic Surgery, please explore our website or contact our office. We are committed to providing comprehensive care and support from the initial consultation through recovery. Schedule a consultation today to begin your journey towards a more confident and beautiful you.