40 yrs old- I want breast implants but have a history of fibroadenomas. Am I a good candidate? What are the considerations?

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello,
Thank you for the question.
Having history of Fibroadenomas is not a direct contraindication to performing breast augmentation surgery as long as you have recent breast imaging, typically within a year, and are cleared to undergo the procedure by the Breast Surgeon.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on your desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection.
I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Fibroadenomas are not a contra-indication for breast implants. I recommend getting a mammogram or ultrasound done to document the location and discuss this with your surgeon. He may excise them at the time of augmentation.

Best Wishes,

Gary Horndeski, M.D.

From your description you should be able to proceed with breast augmentation. If you have not yet had a mammogram, one is recommended before surgery to give a baseline and to ensure that there are no concerns as you head into surgery.

Before doing any type of cosmetic breast surgery, you should have a mammogram and consultation with your medical oncologist or breast surgeon who did your fibroadenoma surgeries and was following you since. If cleared, you can safely proceed to breast augmentation with implant placed underneath the muscle. This will not alter current structure of the breast and will allow for undisturbed follow up of your breast condition. Good luck.