In my Louisville Cosmetic Surgery practice I occasionally have a patient request a breast reduction with an implant placed. This really isn’t possible for a few reasons so I thought I would elaborate. After fielding this request several times, I asked why in the world someone would want to make their breasts smaller via the reduction then put an implant right back in. Seemed counter-intuitive. Well, what the patients were envisioning was having all of their breast tissue shelled out and then the skin tightened around the implant. The ultimate goal being a more firm, perkier breast.
It doesnt really work that way though.
When we do Breast Reductions we leave a central portion of the breast intact with the nipple attached to protect the blood supply to the nipple. Without adequate blood flow, the nipple dies. That is a bad thing. So we cant just shell everything out. If we then elevate the muscle to place an implant in behind, this can compromise the blood supply and result in a disaster. Also, it would be difficult to shape the breast.
Now, I can, after the breast is well healed, perform a breast augmentation behind a previously reduced breast to increase upper pole fullness. This isnt a very common request because the last thing most reduction patients want is to get that weight back on their chest but it has been done.
A fairly common question posed after a Louisville Breast Augmentation is should you take antibiotics before dental procedures. The ratinonale is that when the teeth are manipulated, bacteria get in the blood stream and if they find the implant they could result in an infection and loss of the implant.
In reality, the chances of this happening are very, very low. As a rule I do not put my patient’s on antibiotics before a trip to the dentist but there are exceptions. If the implants were placed within the previous 6 months I think it’s not a bad idea to take a dose before the dental appt. I also recommend them for my patients who have implants for breast cancer reconstruction. These patients may have weakened immune systems and are more prone to infections. In 12 years I have only had 1 patient get an infection after dental work and she was a cancer patient.
The bottom line is that there are no definitive studies that answer this question. If you have breast implants and are concerned it is best to discuss it with your surgeon.
Mammograms are not going to break an implant. These implants are tough. They are not intended to be placed and then for you to go stand in the corner and look nice. They are good, durable products.
My two sons, ages 10 & 13, use my sample implants and sling them at each other when I drag them to the office on weekends. (Implant wars are much more fun than waiting for me and acting right!) They can throw pretty hard and the implants more often than not smack up against the wall. They never break. This is an odd example with my point being go get the mammogram.
The potential risk of injury to your implant is far outweighed by the benefits of the mammogram.