MVA Breast rupture concerns, is it okay to go to primary care eval on Dec 19th?

Question

I was rear ended and forced into the car in front of me on the freeway. I’m short and sit all the way up to drive. On impact my chest hit the steering wheel and knocked the air out of me. The initial pain I had immediately was a burning sensation all throughout my chest. I was diagnosed with chest contusion and whip lash at urgent care. Chest X-ray was normal. My plastic surgeon said to go to primary care for eval, and that’s not until Dec 19.. is this the right course to take? I am anxious.

Christine Rodgers, MD · Answer

HI Glorious,
  
 So sorry to hear about your accident! I hope you are doing better.
 If you have saline implants, it will be evident if you have a rupture because the implant will deflate and in most cases, this is evident to the patient. 
  With gel implants and if you are anxious re a breast implant rupture, the best tests to determine damage to the implants are either a high density ultrasound or an MRI that is specifically designed to detect a leak.
 So sorry that your plastic surgeon does not wish to write a script for these tests, but your primary care doc can do this for you.
If the implants/implant is ruptured , then you can return to your plastic surgeon for a discussion of what to do next.

Best Wises for your recovery!

Dr. Christine Rodgers

John L. Burns Jr., MD · Answer

If you are concerned that your implants may have ruptured then a dedicated breast MRI would be the best test to evaluate the integrity of your implants.  The MRI could be ordered by your PRP or plastic surgeon.

Ronald J. Edelson, MD · Answer

Breast implants are remarkably durable. So they may be fine. You would need snd MRI scan to determine if there is a rupture

Connie Hiers, MD, FACS · Answer

I am so very sorry about your accident, but am so glad you are OK.  Yes, let your primary physician check you and order an ultrasound to check your implants.

Mats Hagstrom, MD (license on probation) · Answer

Unless you notice any significant problems with your breast implants, following up with your primary care, physician is probably correct.
Most likely, you just need time to heal up from the minor injuries from your car accident.
Best,
Mats Hagstrom, MD

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