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I Have Fibrocsytic Breasts and Want to Get Impalnts. Is It Safe?

asked 1 year ago by Brooklyn3404 in Brooklyn, NY
Latest answer by Otto Joseph Placik, MD
Question viewed 568 times
Tags: age 25-34, 110-129 lbs, 5 ft 4 in to 5 ft 7 in, fibrocystic, fibrous

I'm 5'4 120lbs,33 yrs old.I have saggy breasts from having children and would like to have a breast lift and implants. I'm also going for a Tummy tuck. I am very concerned about the implants because 4 yrs ago I was diagnosed with Fibrocystic breasts. I've been getting mammograms and sonograms once a year since I found out. My GYN is against me getting implants, she says it will obscure the view from the mammograms. My PS says it's no problem. Should I or shouldn't I?

18 answers to I Have Fibrocsytic Breasts and Want to Get Impalnts. Is It Safe?

Breast Augmentation with history of fibrocystic disease

It is safe to proceed with your cosmetic breast surgery with a history of fibrocystic disease. First, it is important to have a baseline mammogram before your surgery. After surgery, you should continue with annual breast cancer screening with imaging and continue with breast self exams monthly. Although it is true that implants can hide a very small amount is tissue in mammograms, a non-invasive ultrasound can easily visualize and evaluate this potential hidden... more

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Implants with fibrocystic breast

This is a controversial question.I think self examination plus good mammograms are essential.also do you have a strong family history of breast cancer?Radiologists that do mammograms feel with new techniques and equipment you can do an excellent job of screening.

Robert Brueck, MD
Fort Myers Plastic Surgeon

www.beauty-by-brueck.com

Breast Augmentation with Fibrocystic Disease

Excellent question! We now have evidence based medicine for breast augmentation surgery. Level of evidence ranges from A to E. A "E" level does not mean it is bad, it just means the evidence is based on expert opinion and retroactive chart reviews rather than well-designed studies (level A). There is no evidence breast augmentation surgery increases the risk of breast cancer (level B evidence). An implant placed over the muscle will interfere with mammography... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Implants and Breast Surveillance

The presence of breast implants do decrease the ability to visualize all of the breast tissue on mammography. This depends in part on how much breast tissue there is in relation to the implants and whether they are above or below the muscle. Most radiologists are familiar with implant displacement views in order to better visualize the breast tissue, and for anything suspicious, breast MRIs are becoming increasingly more common. A history of fibrocystic breast disease is not a... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Mommy make-over

90-95% of breast tissue is vidualized if the implant is placed under the muscle and 85-90% if placed on top. Large surveys have shown that breast implants do not delay the diagnosis of breast cancer. I would probably recommend getting a baseline mammogram prior to surgery. Watch my videos.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

I Have Fibrocsytic Breasts and Want to Get Impalnts. Is It Safe?

As you can read the majority of expert posters feel with a mammographic clearance there is no issue with obtaining implants. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast implant, fibrocystic disease of breasts

In breasts with fibrocystic changes it is safer to have a reasonable size implant under the muscle.

Sanjay Parashar, MD
Dubai Plastic Surgeon

Implants and mammograms

you are safe to have breast augmentation with your diagnosis of fibrocystic breast disease. It has been well established in numerous studies that breast implants will not increase your risk of developing breast cancer and with proper mammogram technique, do not obscure or delay a diagnosis of breast cancer if it occurs. Be sure you have a baseline mammogram.

Jack Peterson, MD
Topeka Plastic Surgeon

Fibrocystic breasts and implants

It has been well established that breast implants do not hinder the detection of breast cancers - provided you obtain the appropriate mammographic views. The implants should be placed behind the muscle so there is a plane between the breast tissue and the implants.

David A. Lickstein, MD
Miami Plastic Surgeon

Breast implants are safe for fibrocystic breasts!

Actually, your GYN and your PS are both right, and both wrong. While the presence of breast implants can require special mammographic techniques (Eklund, or displacement technique) plus additional views, most breast radiologists feel that they can adequately examine 99% of your breast tissue mammographically for cancer detection. Fibrocystic changes make detection of breast cancer more difficult, implants or not. Breast implants neither increase nor decrease the risk of breast cancer,... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

You can have surgery

You need to be followed by your gyn and plastic surgeon. You can have mamograms and can have physical exams. Implants do not cause cancer and it can be diagnosed even with implants in place.

William B. Rosenblatt, MD
New York Plastic Surgeon

Implants with “Fibrocystic” Breasts

There is no such thing as fibrocystic breasts. This is just a verbal shortcut physicians take when talking about lumpy and, frequently, painful breasts. Breasts with these conditions have no more chance of developing breast cancer than breasts without pain or lumps. There is a difference if you have had a biopsy and the pathology showed one of several very specific changes. However, if the pathologist wrote “fibrocystic changes,” this tells you nothing about your risks. The only... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breast implants with fibrocystic breasts

Fibrocystic disease is a common condition within the breast and can develop in many women as they age. The cysts and lumps are not breast cancer or even precancers, though they do make the breast more difficult to examine and cause frequent mammograms and ultrasounds and sometimes breast biopsies. We feel that unless specific changes are being followed on your mammogram, you should be able to have a sub muscular silicone gel breast implant. The implant will push the breast tissue up and will... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Implants Can Make Mammagrams More Difficult to Interpret

There can certainly be increased difficulty in interpreting mammagrams with implants in place. The retromuscular placement of your implants would be better than retroglandular. As with all procedures, you must weigh the benefits/risks. Your family history of breast cancer is another factor to consider.

John Whitt, MD
Louisville Plastic Surgeon

A judgement call

Fibrocystic disease is certainly not a contraindication for breast implants. Women with implants have special views performed during mammography to be sure to see the breast as completely as possible. Ultimately the decision is yours.

David J. Levens, MD
Coral Springs Plastic Surgeon

www.drlevens.com

Breast Implants

I concur with Dr. Wallach. You should consult with your mammography and ask their opinion. It is the ability of your radiologist to interpret your mammograms that is the issue. If they feel that in your case it would adversely impact your studies then it would be fine to proceed.

Bernard Shuster, MD
Hollywood Plastic Surgeon

Fibrocystic breasts and implants

Really the best person to ask is a radiologist who reads mammography. I think that it probably is ok to get them with fribrocystic breast disease but you can ask the radiologist as well..

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast implant augmentation surgery in fibrocystic breasts

In many ways your decision may be influenced by whomever is your careprovider. IF your GYNE is your primary care physician and the person who is responsible for your breast exams, I would not want to recommend a procedure that would hamper his/her breast cancer surveillance. see video