Safe to have breast implants removed with stage 4 melanoma?

Question

I Have had saline breast implants since 2001. I was diagnosed with stage 4 melanoma( from my brain down to my knees bilaterally) on August 2. 2023. Most if it is gone, thanks to immunotherapy. Surgeries and inflammation can "awaken" this cancer and Jumpstart it. I worry that the implants cause constant inflammation and need to be removed- but surgery will also cause inflammation!! Any suggestions? I wanted then removed before the CA diagnosis... they feel matronly now. I'm 55

John L. Burns Jr., MD · Answer

In most cases, without a pathologic implant capsule, implants can be removed as a simple office procedure using local anesthetic.  If you want a full capsulectomy then that would require more extensive surgery.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. I am sorry to hear about your diagnosis and the challenges you're facing. It is understandable to be concerned about the potential impact of your implants on your health and the implications of any further surgery. Please view the detailed video that I have attached that specifically answers your question.

Daniel Barrett, MD · Answer

Dear Tigress1,
it is hard to tell for sure without an examination. You can probably get them removed under local anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You need to get medical clearance for surgery from your oncologist. If cleared, then go see a plastic surgeon and removing your implants.

Bryan Curtis, MD · Answer

Decisions about medical procedures should always be made in consultation with your healthcare team. If you have stage 4 melanoma and are considering the removal of breast implants, it is crucial to discuss this with your oncologist and a plastic surgeon. They can provide guidance based on your individual health status, the extent of your melanoma, and the potential impact of surgery on your overall well-being.Here are some factors to consider:1. Cancer Treatment Priority: In cases of advanced cancer, addressing the primary cancer and metastases is typically the top priority. Your oncologist will guide you on the most appropriate treatment plan for your stage 4 melanoma.2. Surgical Risks: Any surgical procedure carries inherent risks, including the risk of infection, bleeding, and complications related to anesthesia. Given your medical condition, these risks may need to be carefully evaluated and weighed against the potential benefits of the breast implant removal.3. Impact on Immune System: Surgery can temporarily impact the immune system, and patients with cancer often have compromised immune function. Your oncologist will consider whether surgery could affect your immune response and whether it's advisable given your specific circumstances.4. Recovery Considerations: Postoperative recovery may be more challenging for individuals with advanced cancer. Your healthcare team will assess your ability to tolerate the surgical procedure and the recovery process.It's essential to have open and honest communication with both your oncologist and the plastic surgeon. They can collaborate to provide you with the most appropriate and guidance based on your medical history, current health status, and treatment goals.Remember, only your healthcare team can assess your specific situation and guide you on the best course of action. If you have concerns or questions about the potential removal of breast implants in the context of stage 4 melanoma, schedule a consultation with your medical professionals to discuss the risks and benefits in detail.

Safe to have breast implants removed with stage 4 melanoma?

Answers (5)