Breast Augmentation and Nursing

One of the more frequent questions I get about breast augmentation at my Baltimore practice is “Can I (or should I) breastfeed after breast augmentation?”

Most women can successfully breastfeed following breast implant surgery. By choosing an incision location that will not disrupt the milk ducts, your surgeon can increase the chances for successful breastfeeding postoperatively. There are a variety of incision options available to plastic surgeons.

Although periareolar incisions (incisions around the areola) theoretically should not interfere with lactiferous (milk) ducts, I prefer alternative incision sites. A transaxillary (through the armpit) or IMF (beneath the breast) approach minimizes the risk for interfering with milk ducts. These methods also conceal scarring well because they are hidden in the tissue of the armpit or under the breast.

All surgeons will tell you that there are potential risks associated with any medical procedure, but moms can feel confident that their babies are safe. Neither saline nor silicone implants pose a health risk to nursing babies. Both saline and silicone implants are contained within a durable silicone shell, and silicone does not leak into milk ducts. Even if a rupture occurs, loose silicone typically remains encapsulated within the fibrous tissue that forms around the implant while saline, a sterilized saltwater solution, is absorbed by the body naturally.

With preliminary examinations, careful treatment planning and open communication, women should feel reasonably confident about nursing after breast enhancement surgery.

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