Can a Plastic Surgeon Perform the Removal of Fibroadenoma?

Many plastic surgeons, as Dr. Rand points out, also obtained board certification in general surgery. Most of those surgeons are more than capable of removing a fibroadenoma.
They may in fact have additional training that might enable them to perform the procedure with minimal scarring, along anatomic boundaries, etc. One of the first lessons we learn as surgeons is that the removal of the tumor comes first. This must be done without compromise, in other words must be done in a way to minimize spread of any potential tumor, and to ensure full removal of tumor and lymph nodes in the most current and scientifically up to date fashion.
Only then do we consider how the reconstruction is to be done. The surgeon, if he is performing both steps, must not "cut corners" in the tumor removal just to get a better result when doing the reconstruction.
This separation of tasks and knowledge of the current state of the art in tumor removal requres a dedication to this area, often a subspecialization within in. It also requires the surgeon to have open communication with chemotherapy and radiation therapy specialists, and a tumor board should the need arise. Just because we think it is a fibroadenoma doesn't 100% mean it is. Is your doctor prepared to take those steps if the news from the biopsy is not good?

To the extent that many Plastic surgeons were trained in general surgery prior to plastic surgery, they can remove an fibroadenoma as well as perform an appendectomy. However, traditionally they do not do this. With fbroadenomas, come the risk of incidental discovery of malignancy and its management which is customarily carried out by general surgeons or even specialists in the field.

It is certainly possible to remove a fibroadenoma at the same time as placing implants, but it all depends upon the location of the fibroadenoma to determine what incision could be used to approach it.