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Lump After Breast Augmentation with Saline Implants

New lumps after breast augmentation must be investigated and ruled out for malignancy. Most of these masses wind up being benign but they should be investigated. Steps to figure out the nature of the lesion as benign is to do an ultrasound. The mass may represent a resolving hematoma or, in rarer circumstances, an isolated seroma, however, no breast mass should ever be ignored. See your plastic surgeon soon if this is a concern.

Clinical Context

A new lump after saline augmentation usually reflects an organizing hematoma, a late seroma, fat necrosis, a simple cyst, or ordinary benign breast tissue that could occur with or without implants. Ultrasound is the usual first step because it separates fluid from solid tissue and images well near an implant. Mammography with implant-displacement views or MRI may follow if questions remain, and any solid mass warrants biopsy. Implants themselves do not cause breast cancer, but a new lump still deserves prompt evaluation by your surgeon.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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