I am 42 years old and was told when I wa 39 that I have microcalcifications in both breasts. I have annual mammograms and there is no change in my tissue. I'm considering saline breast augmentation. Should I be concerned about microcalcifications and visibilty on mammograms with saline implants?
Saline Breast Implants Safe for Microcalcifications and Mammogram?
Doctor Answers 6
Saline breast implants safe for mammogram?
If it was told to you that your microcalcifications were benign and have been stable, there should not be an issue for you to have the augmentation procedure.
It is known that women are more in tune with their breasts and more diligent with examination and feeling/knowing the contour of her breasts, thus able to identify any abnormality sooner. Imaging studies of the breasts are similar to imaging without breast implants and cancers are not hidden either by the presence of breast implants. It is true that with breast implants do obscure a portion of the breast during imaging studies, but with the Eklund displacement views, which should be done when having mammograms with breast implants, there is minimal change. You should remain proactive with your monthly self examination, annual clinical examination, and mammograms beginning at age 40 (unless family history, as directed by the Radiological Society). If there is anything concerning on mammogram, other imaging modalities would be utilized, including ultrasound and/or MRI. Best wishes! Hope that this helps!
Breast Implants, Microcalcifications and Mammograms
Implants and microcalcifications
Saline implants usually do not impact mammograms as much as silicone implants. Of course not having an implant will always give a clearer image. The best way to look at microcalcifications is by obtaining an MRI.
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Saline Implants Microcalcifications and visibilty on mammograms
While the MRI is a MUCH better tool to detect breast pathology, the mammogram has been the standard in breast surveillance.
If you want to have a 100% unobstructed / unaletered view of your breasts and potential worrisome areas, you should not have any breast implants placed (and especially do not consider fat grafting to the breasts which INCREASES microcalcifications). Saline implants are largely transparent to the radiation of mammograms and with special displacement (EKLUND) views, especially with the implants placed under the muscle, much of the augmented breast is examinable with mammograms. But it is never 100%.
You need to decide if the risk is worth it.
Microcalcifications and breast augmentation
All breast implants will block some of the mammogram beams and therefor can miss areas of the breast. Certain techniques are used to visualize as much of the breast tissue as possible. Regardless of having calcifications or not that is the case. This is the information but only you can decide if you will or will not have implants based on this information.
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.