Can a plastic surgeon remove a lump in my breast and put implants in at the same time? (photo)

Question

Or do I have to go to a general surgeon for my lumpectomy and then get implants later? The lump is pulling my nipple inside of my breast. It looks like the nipple retraction in this picture. Thank you in advance for any advice.

Nelson Castillo, MD · Answer

Thank you for your question.  Without knowing the cause of this lump, a full workup needs to be completed before pursuing an elective aesthetic procedure such as a breast augmentation.  Once your breast surgeon has removed the lump, and deemed you clear of any issues, then have your breast augmentation. Depending on the amount of tissue removed, it will also lead to a more symmetrical augmentation result, as your plastic surgeon can compensate for the lost tissue with different size implants.

Manish C. Champaneria, MD · Answer

Thank you for your question.In my opinion, the lumpectomy should be performed first, and at a separate time than the augmentation. The lumpectomy specimen must be examined by a pathologist to determine the cause of the lump. You may need further treatment based on the cause, and it's best to make sure the entire lump is removed. An augmentation cane performed at a later time, when the inflammation and scar tissue has subsided.Thanks,Manish Champaneria, MD

Jay Meisner, MD · Answer

Prior to any elective breast augmentation, it is imperative that this lump is fully evaluated.  There are many causes of nipple retraction, and a qualified breast surgeon should determine its nature and if any treatment is necessary.  If the cause is non-cancerous, you may proceed for evaluation for breast augmentation.

Richard P. Rand, MD, FACS (retired) · Answer

It would be absolutely contraindicated in my opinion even bordering on malpractice to do a breast biopsy and simultaneous breast augmentation. If the biopsy showed cancer, your proper care could have been seriously affected by having done the augmentation. The nipple retraction is an alarming sign so for sure go to a general surgeon for the biopsy first. ASAP.

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