They found 2 fibrocystic lumps as well as saline leakage in the lower quadrant of my left breast. They can not visual see the leak and no rupture. Implants were put in 1985. The radiologist report says neg BI_RADS CAt 1 (neg.) can I have the implant and the cysts removed as well as having a new implant put in?
Firbocystic Lumps Found As Well As Saline Leakage
Doctor Answers (5)
Depends on the cyst size
Exchanging implants and removing lumps
Fibrocystic lumps are benign (non-cancerous), so if you wanted to have two fibrocystic masses removed at the time of implant exchange you could ask your plastic surgeon to do both. If there was any concern for malignancy then you would want to get that worked up first, but from your description is does not sound like that is the case. As far as leaking of a saline implant, the fluid tends to get absorbed by your body. It is not surprising to have a leak in 26 year old implants. If you do in fact have a leak, I would recommend getting the implants exchanged sooner rather than later to avoid any further problems. I recommend seeing a board certified plastic surgeon for this type of procedure. Good luck!
You can do that which you have suggested. The question is how will things look afterward. That depends upon how much breast tissue you have and what the status of your implants and implant capsules might be.
John Di Saia MD
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Fibrocystic lumps and saline implant leakage
Leakage of saline is generally not visualized on imaging studies, as the saline (salt water) is reabsorbed over time by the body. In any case, your best option is to schedule a consultation with a board-certified plastic surgeon, so that you can be evaluated and can discuss your treatment options.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board-certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Should not be a problem
Most plastic surgeons are trained in general surgery also and could do both procedures at the same time. Just schedule a consultation with a plastic surgeon that you are comfortable with and let them explain your options.