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My name is Jessica, I’m 49, and I have no ovaries, breasts, or nipples—they’ve been removed and reconstructed. They look great but feel a bit foreign. I’m happy I’ve done everything I can to prevent cancer and stay here for my sons.

A few years ago, after a strong family history of breast, ovarian, and prostate cancer, I got tested and was BRCA1 positive. I immediately had my ovaries removed, which went smoothly. To avoid hot flushes, I used evening primrose oil and cut out stimulants, which worked well.

My next challenge was my breasts. I received conflicting advice, but the greater fear was losing my hair if I ever got cancer. Encouraged by supportive doctors and the Gift of Knowledge conference, I opted for a one-stage implant operation under the pectoral muscle for faster recovery. The surgery went well, though I had a serious infection that resolved with antibiotics and rest. My new breasts look better than expected, though they don’t move or feel warm.

I also had my nipples removed and replaced with 3D tattoos, which was empowering and inspired me to consider training as a nipple/scar tattooist. My partner has been wonderful and supportive, and I’m open about my story with others. I plan to encourage my sons to be tested in the future, knowing that IVF can prevent passing on the gene.

My mother is now battling Peritoneal cancer, likely worsened by delaying ovary removal, which reinforces my choices. I focus on eating healthily, cutting sugar, and living for today. BRCA has made me braver, and I’m even exploring a career change I wouldn’t have considered before. I know I’m fortunate—age, insurance, and support have made this journey less traumatic than it could have been, and I empathize with younger women facing these decisions with fewer resources.