Can I get breast implants with pre-existing lumps in breasts?

Question

I am very interested in getting silicone breast implants under the muscle and through periareolar incision. Can I still get this procedure done if I still have lumps from over pumping my breasts with a breast enlargement pump 14 years ago? I still have lumps that become sore and can be felt if my breasts are squeezed too hard and often. The lumps "go away" when I let my breasts rest and just flare up occasionally if squeezed too hard. I recently had a mammogram and results were normal.

Carlos Mata, MD, MBA, FACS · Answer

Thank you for your question. Your recent mammogram was normal, which indicates that the lumps are not associated with malignancy. However, further evaluation, such as an ultrasound or MRI, may be recommended to confirm that they are benign before proceeding with the augmentation. Breast implants under the muscle will not affect the lumps or exacerbate symptoms.

Ellen Ozolins, MD · Answer

Thank you for your question. It is possible to get breast implants even with pre-existing lumps as long as the lumps have been evaluated and determined to be benign, which is indicated in your case based on normal mammogram results. However, your surgeon may recommend additional imaging or evaluation to confirm that the lumps are not a concern before moving forward with breast augmentation. Also, since your lumps flare up and become sore occasionally, your surgeon should be aware of this. A periareolar incision involves making an incision around the edge of your areola. This approach may put some pressure on the breast tissue during surgery, which could potentially irritate the lumps. It’s important to discuss with your surgeon whether this incision method is the best option for you.

Joe Gryskiewicz, MD, FACS · Answer

You will need a recent mammogram to ensure that everything is okay and that nothing within your breast tissue is anything other than normal or benign.  As long as you are medically cleared , breast implants should not cause any effect.

Gerald Minniti, MD, FACS · Answer

Of course you can, however, I high discourage a periareolar incision. First, it's not a 'invisible' as its reputation would have you believe, and conversely, an inframammary incision is not a conspicuous as reputation would have it. Much more importantly, periareolar incisions lead to higher rates of capsular contracture (even when implant delivery funnels are used) and much more invasive surgeries to fix. Inframammary incisions have the lowest rates of contracture. Be smart: choose an implant that fits within your chest/breast anatomy, and choose an inframammary incision and placement under the pec major muscle.

Brian Widenhouse, MD · Answer

Your medical history should not prevent you from having the breast augmentation that you desire. Please consult with a board certified plastic surgeon for a complete evaluation and exam and
make sure you continue to have your annual mammogram.
Best of luck!

Camille Cash, MD · Answer

If your mammogram is normal then you should be able to proceed with breast augmentation.  Be sure to speak to your surgeon about your history and bring along your mammogram report if are able.  I've included a video about breast augmentation that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

If your mammogram is normal and no treatment is recommended, then you should be able to proceed with an augmentation. An ultrasound might be requested first.

Mats Hagstrom, MD (license on probation) · Answer

Silicon implant breast augmentation requires a certain length incision in order to fit the implant through the opening.
Women who have a large areolas can have silicon implant placed through a periareolar incision.
If the areola is small then the incision needs to be made under the breast, typically in the IMF(infra mammary fold)
I suggest having multiple in person consultations with plastic surgeons in your community to get a better assessment and better understanding of treatment options.
Best,
Mats Hagstrom MD

George Lefkovits, MD - Account Suspended · Answer

With a normal mammogram it may be possible to undergo breast augmentation with silicone implants. You would need to be examined and collaboration with your gynecologist would be impottnat. You should consult with a Board Certified plastic surgeon.

Can I get breast implants with pre-existing lumps in breasts?

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