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

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.

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

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.

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.

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. 

In NY, facilities will not permit hybrid cases that are part cosmetic and part reconstructive for reimbursement/regulatory issues.  I would not perform this case. It is important to get a final pathology report on the fibroadenoma first.  Also,there might be an asymmetry from the tumor removal and waiting will enable a more accurate assessment as to implant size on that side.

In Virginia both procedures can be done during the same surgery. The hospitals separate the times for cosmetic and insurance based portions. It is important to have an accurate diagnosis and be certain that it is a fibroadenoma before undertaking the cosmetic aspect of the surgery. In some cases the same incision can be used but this is not always possible and you should be made aware of the planned approaches prior to your surgery.