Our Summary

This research paper emphasizes the importance of ongoing screening for breast cancer, including checking for any recurrence of tumors, in patients who have had breast augmentation or reconstruction surgery. As the use of imaging technology becomes more prevalent in both the detection and diagnosis of post-surgery complications, it’s crucial for radiologists to be knowledgeable about the common surgical methods used for breast augmentation and reconstruction. The paper discusses the imaging of breasts that have undergone these surgeries, potential complications, and particularly focuses on the use of Magnetic Resonance Imaging (MRI).

FAQs

  1. Is it necessary to continue screening for breast cancer after breast augmentation or reconstruction?
  2. What is the role of diagnostic imaging in post-operative breast care?
  3. Which imaging technique is commonly used to detect complications in augmented and reconstructed breasts?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about breast augmentation is to continue regular screenings for breast cancer, such as mammograms, even after undergoing the procedure. It is important to stay vigilant and monitor for any changes in the breasts, as early detection is key in treating any potential issues. Additionally, the patient should be aware of the importance of regular self-examinations and should consult with their doctor if they notice any changes or abnormalities in their breasts.

Suitable For

Patients who are typically recommended for breast augmentation are those who are looking to enhance the size and shape of their breasts for cosmetic reasons. This may include individuals who feel their breasts are too small or asymmetrical, or those who have lost breast volume due to weight loss, pregnancy, or aging.

Additionally, breast augmentation may be recommended for patients who have undergone mastectomy for breast cancer and are seeking breast reconstruction. This can help improve the symmetry and balance of the breasts, as well as restore a sense of femininity and self-confidence for these patients.

It is important for patients considering breast augmentation to have realistic expectations and understand the potential risks and complications associated with the procedure. It is also crucial for patients to undergo regular screenings for breast cancer, as breast implants can affect the ability to detect abnormalities on mammograms. Magnetic Resonance Imaging (MRI) may be recommended for patients with breast implants to help detect any potential issues or complications.

Overall, patients who are healthy, have realistic expectations, and have discussed the procedure thoroughly with their healthcare provider are typically good candidates for breast augmentation.

Timeline

Before breast augmentation:

  • Initial consultation with a plastic surgeon to discuss goals, expectations, and surgical options
  • Pre-operative appointments for medical evaluation, measurements, and implant selection
  • Surgical procedure with anesthesia and recovery time
  • Post-operative care and follow-up appointments with the surgeon

After breast augmentation:

  • Monitoring for complications such as infection, implant rupture, or capsular contracture
  • Regular self-breast exams and follow-up appointments with the surgeon
  • Mammograms and other imaging studies as recommended by the surgeon or primary care provider
  • Continued surveillance for breast cancer or tumor recurrence
  • Maintenance of breast health and overall well-being through proper diet, exercise, and lifestyle choices.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation surgery?
  2. How will the implants affect mammograms and other breast imaging tests?
  3. How often should I have breast exams and imaging tests after breast augmentation?
  4. What is the recommended schedule for follow-up appointments after surgery?
  5. How will breast implants affect breastfeeding and future pregnancies?
  6. What are the options for implant removal or replacement in the future?
  7. How long can I expect my breast implants to last before needing to be replaced?
  8. What are the signs and symptoms of complications that I should watch for after surgery?
  9. Are there any restrictions or recommendations for physical activity or lifestyle changes after breast augmentation surgery?
  10. What are the differences between saline and silicone implants, and how do I choose the right option for me?

Reference

Authors: Green LA, Karow JA, Toman JE, Lostumbo A, Xie K. Journal: Clin Imaging. 2018 Jan-Feb;47:101-117. doi: 10.1016/j.clinimag.2017.08.007. Epub 2017 Aug 25. PMID: 28918365