Breast Augmentation

Yes — excision of fibrocystic tissue can be combined with breast augmentation in a single operation, and it is done with some regularity. Surgically it is feasible: the tissue is removed, sent to pathology, and the implant placed, often through the same incision. Two caveats deserve daylight. First, money: insurance coverage varies, and while excision of a symptomatic or suspicious mass is often covered, the cosmetic augmentation performed at the same sitting is typically self-pay, so combining them requires coordination between your surgeon's office and your insurer before the operation, not after. Second, tissue: removing a volume of breast tissue changes the canvas the implant sits behind, so your surgeon should examine you and review any imaging before promising a particular result. Make sure the plan for pathology is clear before surgery. A board-certified plastic surgeon — ideally working alongside whoever is following your fibrocystic changes — can map this out for your specific case.