Can benign lumps be removed during implants? Planning to do under muscle silicone implants.

In most cases I would recommend not combining the procedures.If you have lumps in your breast, they should be evaluated by a general surgeon before your breast augmentation. If they are suspicious, they should be removed before breast augmentation. If they are long lasting and unchanging, there may still be benefits to removing them separately. Each operation has risks, if a biopsy site bleeds, or gets infected, it is a much smaller problem than if you have bleeding or infection around the implant. There is also the theoretical risk of contaminating the breast implant pocket, which may put you at higher risk of capsular contracture. 

I have my patients obtain a mammogram if indicated prior to surgery. All patients are asked to be evaluated by a general breast surgeon if there are concerns. Otherwise I would not consider biopsy or removal of a breast mass during the breast augmentation.

Yes, they can be removed, but it is not usually recommend it to do it this way. I would suggest seeing a breast surgeon specializing in diseases of the breasts for biopsy and removal at least several months before the breast augmentation. 

Lumps can be removed at the same time breast augmentation is performed if indicated. A high percentage of patients have fibrocystic breasts and cysts which do not have to be removed, for example. Make your concerns known to your surgeon and discuss whether or not lump removal is appropriate for you.

Thank you for your question. I don’t recommend having benign lumps removed during augmentation surgery, for a couple of reasons. First, a breast surgeon is a better choice to remove the lumps, and to advise you as to whether they even need to be removed. Second, removing the lumps during augmentation surgery can put you at risk for complications, including capsular contracture. I recommend that you talk to both a breast surgeon and a specialist plastic surgeon -they can examine you and offer advice on the safest way to proceed that will offer you the best possible results. Good luck!

I would not recommend it, especially if there is no real indication to remove them. It causes more trauma to the tissues and since it cuts through breast tissue/ducts would likely increase the risk of capsular contracture similar to going through a nipple incision or the axilla.

Thank you for posting your question. I suggest that you consult with a breast surgeon to determine if and when the lumps should be removed. I would typically suggest for my patients to stage the surgeries in an attempt to decrease the chance of complications. I hope this helps and wish you the best of luck,