Screening for Breast Cancer When You Have Implants: What You Should Know

It’s something many women have questions about—but may feel hesitant to bring up: breast cancer screening with implants. With 1 in 8 women developing breast cancer in her lifetime, routine screening is essential. But how does the process work if you’ve had breast augmentation?

Here’s what you need to know about mammograms, breast exams, and imaging options when you have implants.

When Should You Start Breast Cancer Screening?

The American Cancer Society recommends that women:

• Start annual mammograms at age 40 (optional)
• Begin regular screening by age 45
• Switch to every two years at age 55, if preferred

These are general guidelines for women at average risk. If you have a family history of breast cancer or carry a genetic mutation like BRCA1 or BRCA2, your doctor may recommend earlier or more frequent screening. Always talk to your primary care provider about when you should begin.

Learn more about our Breast Cancer Services »

Are Mammograms Accurate if You Have Breast Implants?

Yes—but they may be more challenging. Breast implants, whether saline or silicone, can make it harder to see all of the breast tissue during a standard 2D mammogram. This is because the implants can obscure areas behind or beneath them.

There are two common implant placements:

• In front of the chest muscle (subglandular) – harder to work around during imaging
• Behind the muscle (submuscular) – easier for technicians to adjust for clear X-rays

Let your provider know before your appointment if you have implants, so they can use special techniques like implant displacement views to get better images.

Do Breast Implants Increase the Risk of Cancer?

Breast implants do not increase your risk of typical breast cancer. However, a rare cancer called BIA-ALCL has been linked to certain textured implants. Talk to your doctor if you have concerns—mammograms are still safe and important for your breast health.

Best Breast Cancer Screening Options for People with Implants

Since implants can make 2D mammograms less effective, your doctor may recommend other imaging methods:

3D Mammograms (Tomosynthesis)

• Offers more detailed images
• Improves visibility of breast tissue around implants
• Preferred method for patients with implants

Ultrasound

• Useful if an area appears suspicious on a mammogram
• Safe and non-invasive

Breast MRI

• Very sensitive and effective
• Often used for high-risk patients or to get a clearer view around implants

Your provider will help determine the right approach based on your risk level, age, and medical history.

Schedule a Breast Screening with BASS Medical Group

Do you have breast implants and need a 3D mammogram, ultrasound, or MRI? At BASS Medical Group, our imaging center offers state-of-the-art technology and experienced radiology teams to ensure your screening is clear, comfortable, and effective.

Let us help you stay on top of your breast health.

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