Yes, breast implants do not prevent breast biopsies. Breast biopsies can be performed by a surgeon using an open technique or a radiologist using a needle aspiration technique. Breast implants above the muscle are just under the breast gland so they are more at risk during one of these biopsy procedures. Breast implants below the muscle have an extra layer of tissue to protect them and makes puncturing the breast implants less likely. Rarely the breast implant may be punctured during the needle localization process or while the surgeon is removing the lump. This is not a problem and can be replaced after the cancer risk has been determined. Breast implants above the muscle can cause more problems for biopsies that breast implants placed below the muscle.