Will Local Anesthesia to Remove a Mole On My Chest Puncture my Breast Implant?

I have mole on the inner breast cleavage area and need to have it removed. Is there any chance they will puncture or pop my breast implant by using a small needle to numb to area? I am very worried and don't want to take any chances of them doing this , but also afraid of having skin cancer?

Doctor Answers 17

Mole Excision following Breast Augmentation

It is wise to be concerned but your risk of damage to the implant should be minimal.  I would absolutely have a board certified plastic surgeon perform the excision, if your original surgeon is not available, as this would ensure a full understanding of the anatomy and placement of the implant with respect to the location of the mole.  However, the mole excision really is a superficial procedure and careful injection of local anesthetic should never compromise an implant placed in a much deeper plane either beneath the breast itself (sub glandular) or beneath the muscle.

Chicago Plastic Surgeon
4.9 out of 5 stars 63 reviews

Injections near breast implants to remove mole

It would be unusual for your implant to be damaged from a mole removal procedure.  Typically, the medicine used to numb the skin prior to a biopsy is injected just below the skin surface. It would be a good idea to let your doctor know that you have implants.

George John Alexander, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 38 reviews

Mole Removal Following Breast Augmentation

It is unlikely that a breast implant could be punctured during a mole removal.  If the mole has changed, then it needs to be removed and examined by a pathologist.  There is a fair distance between the skin with the mole and the breast implant.  The local anesthetic needs to be placed just under the skin in order to avoid the breast implant. 

Michael Sundine, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 18 reviews

Mole removal over a breast implant.

Your safest option is to have a board certified plastic surgeon do the mole excision or better yet, if available, the surgeon who placed your implants could do the biopsy.  Either is skilled in knowing the correct depth to place the needle and how to avoid any problems.  So I believe your risk should be very low.  Incision in this area are known to be prone to hypertrophic scarring, so have your surgeon follow you closely afterward.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 100 reviews

Local anesthesia injection will in rupture breast implant

Since I do not know the size or exact location of the mole on your breast it is difficult to tell you the exact risk of implant rupture.  But with a board certified plastic surgeon who has knowledge of implants and breast anatomy performing the mole excision would carry little risk of implant rupture.  Hypertrophic scars in this area however, are known to occur.

Rondi Kathleen Walker, MD
Washington Facial Plastic Surgeon
4.5 out of 5 stars 16 reviews

Mole Excision

Without knowing your exact details and what kind of biopsy is planned, shave versus excision, why not have a plastic surgeon remove your mole?  Then you will have someone familiar with breast implants and your anatomy. This should ensure the local anesthesia would be placed into the appropriate plane.  Beware of a bad, ugly scar in this area, however.  All the best, "Dr. Joe" Gryskiewicz

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 278 reviews

Local Anesthesia and Puncturing Breast Implant?

Thank you for the question.

The chances of rupturing your breast implant is extremely small  if you are in the hands of a appropriately trained physician. However, the chances of you developing a unsatisfactory scar in the area that you have described is quite high;  make sure excision is really necessary/indicated.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Removing a mole should not injure implant

The only way that the implant can me ruptured is if the doctor sticks the needle too deep. This would certainly be a result of negligence and really should not happen...but crazier things have happened I guess.

Matthew Schulman, MD
New York Plastic Surgeon
4.9 out of 5 stars 326 reviews

Mole over breast implants

Dear Calhoun 32.  It's highly unlikely that removal of a mole over the inner cleavage of the breast will result in puncturing the underlying implant.  I would suggest that you see a plastic surgeon who does breast implants or even the plastic surgeon who did the implants for you.  My only concer for you would be the formation of an unfavorable scar in this region.  Make sure that the mole really needs to be removed.  Discuss this with your surgeon.  Good luck.

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.6 out of 5 stars 17 reviews

Lesion excision and implant puncture

Injection of local anesthesia to numb the breast area for removal of a skin lesion will not be in the area of the implant cavity and will not result in implant rupture. If it very important, however that you tell the dermatologist or other surgeon who is injecting the anesthesia about the presence of the implant. If the lesion isn't superficial and is being biopsied to rule out breast cancer, care can be taken and if you are really concerned, you can have your plastic surgeon perform the biopsy.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.