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Introduction


Breast screening by mammography (breast x-rays) can detect cancer at a very early stage. 
Breast screening has been shown to reduce the number of deaths from breast cancer. 
However, mammography can be less effective in women who have breast implants. This is because the x-rays cannot ‘see’ through the implant to the breast tissue behind it.


Screening does not check your implants


We cannot perform the mammogram but will ask you to speak to your GP if:

  • You feel that there may be a possibility that the implant(s) is already damaged or ruptured but have not had this confirmed.
  • You have any other unresolved concerns about your implant(s),


We can perform your mammogram if:

  • You have confirmed damage or rupture of your implant(s).


The Radiographer will use a slightly different technique if you have implants, so that as much breast tissue as possible can be shown on the x-ray. They will usually take 3 images of each breast, which includes a special image where the breast tissue is eased forward away from the implant.

Taking the breast x-rays involves pressing the breast between two special plates on the x-ray machine. It is very unlikely to harm your implants but there may be a small risk of rupturing the implants, although there is currently no evidence to support this. The Radiographer will take great care to use the minimum compression required and will apply this compression slowly.

We will ask you to record your decision about whether or not you would like to have the mammogram performed before we commence the examination.

Breast Awareness

All women, with or without implants, should be breast aware. This means knowing how your breasts look and feel and reporting any changes to your GP as soon as possible.

The Department of Health has a five-point code for breast awareness:

  1. You should know what is normal for you
  2. Know what changes to look for
  3. Look and feel
  4. Tell your GP about any changes straightaway
  5. Go for breast screening when invited

 

For more information about breast screening, you can:

  • Speak to your GP
  • Contact your local NHS Breast Screening Unit
  • Read our leaflets ‘NHS breast screening’, and ‘Be breast aware’. Both are available on the NHS Cancer Screening Programmes website www.cancerscreening.nhs.uk

Contact us

If you have any queries relating to this information, please contact the Radiology service.

About this information

Service:
Radiology

Reference:
PILS-MAMM.15

Approval date:
28 November 2023

Review date:
23 October 2027

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Important note 

This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.