Can you have breast augmentation and removal of Fibroadenomas lump at same time?

Question

I’ve want to know if you can have breast augmentation (implants) and removal of a Fibroadenomas lump at the same time or does the lump even effect the augmentation as they will come back again from what I’ve learned ? If they are to be removed it should be part of a general surgery and if so do all plastic surgeons not have to have this qualification before becoming a plastic surgeon? Please let me know?

Adam J. Oppenheimer, MD, FACS · Answer

Some surgeons will require you to go to a general surgeon to have the mass removed first, others will help the general surgeon in the same procedure, and yet other plastic surgeons will perform all procedures at the same time. It depends on the skillset, knowledge and comfort of your surgeon and the specific diagnosis. For me to remove a fibroadenoma at the time of a breast augmentation it would need to be large enough to not require a wire localization and it would need to be biopsy proven (i.e. not "suspected" based on radiological findings).

Eric YK Li, MD · Answer

Yes, its definitely possible do both at the same time, through the same access incisions as your augmentation.  Whether a general surgeon needs to be involved depends on the diagnosis, location of the lesion, and comfort level of your plastic surgeon with removing breast lesions.  I would recommend confirming that the lesion is a fibroadenoma first through your primary care physician before proceeding with any type of breast surgery.  Hope this helps!

Benjamin J. Cousins, MD · Answer

Thank you for your questions, and yes this is often done in combination with the breast/general surgeon who will remove the mass/fibroadenoma through the planned plastic surgeon's incision. After the mass is removed the breast implants are placed. Hope this helps.Sincerely,Dr. Benjamin J Cousins MD Board Certified Plastic Surgeon Miami/Miami Beach FL

Christopher J. Inglefield, MBBS, FRCS(Plast) · Answer

Hi anabelleee.  Thank you for your question.  A benign #breast lump can be removed safely at the time of your #BA provided that your surgeon is happy to do this for you.  Your surgeon would need to see all the tests which have been done on the fibroadenoma before advising you on this.  Good luck.

Kelly Killeen, MD, FACS · Answer

You can certainly have your fibroadenoma removed at the same time as your breast augmentation.  This can be done with either a general surgeon  working with your plastic surgeon, or with the plastic surgeon alone.  If the mass is in an difficult to access location, or not able to be easily felt, you may require image guidance for removal.  In this scenario, I usually work with my general surgery colleagues.  When removed completely, fibroadenomas do not typically return, but you can develop new ones in the future.  Fibroadenomas are usually quite easy to identify on imaging, but if there is any concern about malignancy, the lesion should be biopsied prior to your surgery.  Good luck!

Tom J. Pousti, MD · Answer

Thank you for the question.  Generally speaking, a lesion that has been worked up and found to be a benign (such as a fibroadenoma or cyst) can be removed during the time of breast augmentation surgery. This is especially true if the lesion is close to the planned incision for the breast surgery.  
  Best wishes.

Can you have breast augmentation and removal of Fibroadenomas lump at same time?

Answers (6)

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