r/BRCA•
DragonDeer3263

Advice - preparing for my first breast surgeon consultation

Hey all, I'm 28 and diagnosed with BRCA2 at the start of 2025 (but had assumed that was the case since I was young due to a ton of family history). I've had 2 MRI screenings since, and have finally started to make appointments to talk to all the people about all the things so I can be in the know for all the preventative options and can start to make a plan for what I specifically want to do.

I have my first consultation with a breast surgeon in a week to talk about preventative options and am a bit nervous.

I have been doing a bunch of research on my own for what the options are if I decide to get a prophylactic double mastectomy, and I am really leaning toward wanting to get aesthetic flat closure. Reconstruction (in the sense of recreating some boob shapes) holds no appeal for me, I've never been very attached to my chest and honestly the more I've looked into aesthetic flat closure the idea of getting a preventative mastectomy has become a bit less daunting.

Do y'all have any advice on questions I should prepare to ask? Should I wait to see if they even mention flat closure as an option before bringing it up myself? Or should I be really direct right off the bat that that's what I want. (I am pretty confident that is what I would want, but I do want to hear their professional spiel on everything just so I have all the information).

My best friend has offered to come to any and all of my appointments with me, which I'm super grateful for but haven't taken them up on yet. But I'm trying to decide if I should have them come to this appt? Pros - support is great and they would no doubt take great notes and be able to give me their outside opinion on the doctor. Possible con? What if the doctor I'm meeting with is really not supportive of my choice to have aesthetic flat closure but doesn't let on cause there's another person there and they want to come across better? IDK Is that a thing? I definitely feel like I'm over complicating this situation.. but I know that I am really scared of waking up from a surgery with bad results/extra skin cause the doctor thinks they know better and that I might change my mind in the future?

I have looked up NotPuttingOnAShirt.com in the interim of scheduling this appointment and found a doctor in my location in their directory, so I will probably end up going to him for a second opinion anyway. And I have a n appointment scheduled next month for a consult with plastics to get their opinion/information on everything.

(Y'all have been an amazing resource for both information and emotional support the past couple months! <3)

Posted Apr 10, 2026, 12:58 AM UTC

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