1 rich Libsyn https://www.libsyn.com 90 600 In this episode of the DiepCJourney® podcast, Terri sits down with Dr. James Craigie of The Center for Natural Breast Reconstruction for an important and compassionate conversation about risk‑reducing mastectomy, genetic mutations, and the reconstructive options available to those navigating increased breast cancer risk. Dr. Craigie brings years of microsurgical expertise and a deeply patient‑centered approach to help listeners understand when and why risk‑reducing surgery may be considered, what the process looks like, and how women can make informed decisions that support long‑term survivorship. Episode Highlights • What BRCA Genetic Mutations Mean for Risk Dr. Craigie explains what the BRCA1 and BRCA2 genetic mutations are, how they increase lifetime breast cancer risk, and why individuals who test positive may choose to explore risk‑reducing mastectomy with reconstruction as a proactive option. • When There’s No BRCA Mutation but Family Risk Is High Not everyone with elevated breast cancer risk carries a BRCA mutation. Dr. Craigie discusses how strong family history can still warrant enhanced surveillance or consideration of prophylactic surgery, depending on individual circumstances. • Recommended Screening Before Surgery For those considering risk‑reducing mastectomy, Dr. Craigie outlines the surveillance tools typically recommended beforehand, including mammography, MRI, and clinical breast exams, to ensure comprehensive monitoring during the decision‑making process. • Other Genetic Mutations That Increase Risk Beyond BRCA, Dr. Craigie touches on additional genetic mutations associated with higher breast cancer risk and how they factor into decisions about prophylactic mastectomy and reconstruction. • Steps to Begin the Risk‑Reducing Surgery Journey Dr. Craigie walks listeners through the consultation process, including what to expect, how to prepare, and the importance of meeting with a reconstructive surgeon early to understand all available options. • Common Fears and Concerns About DIEP Flap Reconstruction From recovery time to surgical complexity, Dr. Craigie shares the most frequent concerns patients bring to their consults when exploring prophylactic DIEP flap or other reconstruction methods and how these fears can be addressed with education and support. • How Much Risk Is Reduced After Prophylactic Surgery Dr. Craigie explains the percentage of breast cancer risk reduction achieved through prophylactic mastectomy and why this option can be life‑changing for individuals with significantly elevated risk. Why This Conversation Matters Risk‑reducing mastectomy is a deeply personal decision. This episode offers clarity, compassion, and credible information for anyone navigating genetic risk, family history, or the emotional weight of preventive surgery. Dr. Craigie’s insights help empower listeners to make choices aligned with their values, health needs, and long‑term survivorship goals. Listen, Learn, and Share If you or someone you love is exploring genetic testing, elevated breast cancer risk, or reconstruction options, this episode is a powerful resource. Share it with your community because at DiepCFoundation we belive education can help saves lives. Connect with Dr. Cragie and his practice. Instagram: https://www.instagram.com/natural.breast.reconstruction/ Facebook: https://www.facebook.com/naturalbreastreconstruction LinkedIn: https://www.linkedin.com/company/the-center-for-natural-breast-reconstruction/posts/?feedView=all DiepCJourney Podcast https://diepcjourney.com/ <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/42901600/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/206284700