Sentinel lymph node biopsy (axilla) - could this impact the results of my breast implants? Silicone, 5 years post-op

Question

Last week, I had a wide local excision of a lesion on my shoulder. During this procedure, the surgeon also removed 5 lymph nodes from my armpit. My question; is it possible (likely) for an axillary lymph node extraction to impact the results of a breast augmentation (silicone, under muscle, 5 years post BBA), assuming no complications such as infection occur. This question did not cross my mind prior to surgery and my post-op appt. is in 2 weeks. Thank you in advance for your feedback.

Irena Karanetz, MD · Answer

Hello,
Thank you for the question.
Undergoing axillary lymph node biopsy should not affect the results of your breast augmentation, as long as the breast implant and/or breast capsule were not involved during surgery. 
I would encourage you to discuss your questions and concerns with your Breast Surgeon and/or Board-Certified Plastic Surgeon.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear Canadian.Gal,
it is unlikely that your Sentinel lymph node biopsy will affect your breast augmentation. If you have any concerns, you should discuss them with your plastic surgeon. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Usually, there is no problem. But, removing lymph nodes, even just one, could cause some swelling in your breast that may not go away.  If you notice any swelling, start wearing tight compression for your breast and arm.  I have seen this happen one time with only one lymph node removed.

Sentinel lymph node biopsy (axilla) - could this impact the results of my breast implants? Silicone, 5 years post-op

Answers (3)