Is it possible to get a fibroadenoma removed and breast augmentation in one procedure?

Question

I am a 22 year old student athlete and was just diagnosed with a fibroadenoma. I would like to get it removed this summer. I have been considering getting a breast augmentation as well and was wondering if it is possible to have both done simultaneously. Would anesthesia be the same for both? Would most surgeons be willing to do this? I am living in the Philadelphia area. Any information would be appreciated!! Thanks :)

Christopher V. Pelletiere, MD · Answer

If a patient has a benign breast tumor, then removing the tumor at the same time as undergoing a breast augmentation is a safe and routine combination.  The surgeon needs to take into account the size of the tumor when deciding on a final implant for that side, but other then that should be routine.  Insurance should cover the excision of the mass since it is a changing lesion in the breast, but would not cover the augmentation.  I hope this helps.

Sultan Hassan, MD, FRCS(Plast) · Answer

Hi and thanks for your question. Yes is the simple answer, however a couple of  points to consider are that depending on the size of the lump there may result in a degree of asymmetry (could be corrected with fat transfer). Its important that the diagnosis is based on a representative tissue diagnosis/biopsy. good luck

Tom J. Pousti, MD · Answer

Yes, benign lesions such as fibroadenoma can be removed during the time of breast augmentation surgery. This is especially the case when the fibroadenoma is in the region where the planned breast augmentation incision line is. It is important to have the lesion slowly worked up prior to undergoing breast surgery. Best wishes.

Curtis Wong, MD · Answer

should be removed and can be done with the augmentation.  However, depending on location of your tumor, you may have another scar elsewhere.  Insurance should cover the 30min or so of OR time/anesthesia in addition to the surgeon fee, then the cosmetic fees kick in once the tumor is removed.  I personally don't like watching a obvious mass because you are assuming the needle biopsy is reflective of the entire mass and I know of patients who had such tumors that were labeled benign, eventually transform to malignancies.

John P. Stratis, MD · Answer

This is certainly a doable procedure and should be covered by insurance. The incision for the fibroadenoma may be different than the incision for the breast augmentation. Be aware that there is probably an increased risk for complications like bleeding, infection and capsular contracture, albeit very small. This wouild be one reason not to do both at the same time.

Is it possible to get a fibroadenoma removed and breast augmentation in one procedure?

Answers (7)