I want a breast lift/breast implants as soon as possible. However, I recently stopped breast feeding after two years and the the radiology facility said I can't get a mammogram for six months. Can I get one sooner or is six months the norm?
Mammogram Before Breast Lift with Implants?
Doctor Answers (11)
Mammography Before Breast Surgery?
I would suggest you follow the radiologists' recommendation in regard to mammography. Assuming you are 40 years of age or older mammogram prior to surgery will be helpful. If you are younger than 40, then it may or may not be indicated depending on your specic situation (personal/family history of breast cancer and/or specific concerns on physical examination).
I hope this helps.
Mammogram before breast surgery
I generally recommend a baseline mammogram before breast surgery for any woman > 40. I will recommend a mammogram for anyone < 40 for anyone with a family history or with a physical exam revealing a breast mass. My RN and I also instruct patients to perform monthly self-exams before and after surgery.
Mammogram timing for lift and implants
The radiologists are the experts for mammograms so I would do what they say. You also should wait 6 months before undergoing a lift and augmentation because your breasts are going through changes right now that will continue even after the surgery. Getting this operation right at one shot is difficult enough. Adding the fact that the breasts are not stable complicates factors even more. In addition you may not need a mammogram if you are not at least of age for screening. Recent information that is being publicized indicated that even age 40 may not be old enough to start screening mammograms.
Be patient, it will pay off in the long run.(after all you did breast feed for 2 years so you must be patient)
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Mammagram before Implants
Breast implants can certainly interfere with mammagrams and it might be advisable to obtain a baseline mammagram before your surgery. However, I would recommend this only if you have a strong family history or if you are over 40.
Mammograms in general are controversial as a screening tool for breast cancer, so pre-op mammograms are even more controversial. Some doctors insist on them and some do not. Much of this is dependent of your age and risk factors that you did not mention. Most of the time, it would be reasonable to follow the recommendations of your internist or gynecologist for routine screening. For instance, it they don't screen until 40 or 45, and you are 30, you probalbly don;t need one. If you are fairly close, say 39 or 44, you might want to get one early. newer federal guidelines suggest that screening mammograms are not necessary in non-high risk patients until 50 but not all agree.
I think the more important screening test is the post-op mammogram since there can be mammographic densities and changes in the architecture of the gland due to the surgery. Your doctor will want to know what changes are surgical changes and what are real. Usually I will recommend a new baseline post-op mammogram no sooner than 6 months post-op.
Mammogram before breast augmentation
Breast augmentation can change the appearance of the breast, therefore it is advisable to get a mammogram before breast augmentation to establish the appearance of the breast before the implant is placed. If there is a questionable lesion, the workup can be done before breast augmentation. Radiologists can use the pre-augmentation mammogram to compare to any postsurgery changes. You will need an extra "view" when getting a post-augmentation mammogram. However, it is perfectly safe to get breast implants and they will not increase your risk of breast cancer.
Mammogram before breast lift with implants
Your breast MUST be at their normal location and volume which can only be reached 6 months or so AFTER stopping breast feeding. Doing it sooner will compromise your cosmetic results and may be associated with higher rate of complications.
While we could well argue which radiological method provides the best visualization of the breast, Mammogram are regarded by many as the standard. I require all my patients to have a normal mammogram in the year prior to the surgery. If they never had one, I ask these woman to go ahead and have a baseline mammogram before their breast operation. Such a study could prove VERY valuable in the future should a nodule be discovered in the breast after surgery.
Preop mammograms and cosmetic breast surgery
I make it a policy to be sure all patients in my practice undergoing cosmetic breast surgery have a normal mammogram within the past year. I also ask them to get another at one year postop to establish their new baseline for future follow-up.
If you have just finished breast feeding, the 6 month wait as described by the other doctors is very reasonable for all the reasons discussed.
Web reference: http://www.randcosmeticsugery.com
You should wait 6 months after breast feeding to have breast surgery anyway.
1) In our Manhattan practice, we ask women like you to wait 6 months after you are done with breast feeding before having a breast lift with breast implants.
2) There are 2 reasons for this. First, you want your breasts to get to a true "baseline", so we can see exactly what needs to be done to make them look as good as possible. Second, I think your hormone equilibrium should be completely restored to normal before having any elective surgery.
3) If you are over 30 years old, you should definitely have a mammogram before surgery. Again it makes sense to wait until the internal architecture of your breasts is back to normal after breast feeding before having a baseline mammogram. So waiting 6 months for the mammogram is a good idea.
4) Be patient and do things right. Sorry!
Get a mammogram before breast surgery over age 35
There is no consensus about pre-op mammograms, as you can tell from the other responses. The company that insures the most plastic surgeons has a policy that all women over age 35 should have a mammogram before elective surgery on the breasts. This is more stringent than screening requirements for women in general. I have had a few cases of women in their late 30's where issues turned up on the mammogram that needed attention before the implants or lift, so it has turned out to be a reasonable requirement in my experience.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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