So this week, I wanted to spend some time on a hot topic - breast feeding in the context of breast implant surgery. Many of my patients are younger women who are considering breast surgery or already have implants and would like to have children in the future. Some of thecommon questions I have fielded include –
Will I be able to breast feed?
Is it safe to breast feed?
Does implant type (saline versus silicone) impact breastfeeding rates?
Does pocket placement (under or over the pectoralis major muscle) impact breastfeeding ability?
How do things change if I need a lift at the same time?
Breastfeeding after breast implants is possible for many women, and most mothers with implants can still breast feed at rates similar to the general population.
Let’s get through these one at a time.
Frequently Asked Questions
Will I be able to breast feed?
Short answer, likely yes. Breastfeeding rates between the general population and those with breast implants are similar (70+%). Most mothers can still produce some milk after prior breast surgery, even if they do not produce enough milk for exclusive feeding. There may be a slightly decreased ability to breastfeed exclusively in implant patients (i.e. inadequate milk production), which may mean supplementation is needed. Surgical history and other factors, including pre-existing breast conditions such as thyroid issues, polycystic ovarian syndrome, or baseline glandular differences, can affect milk supply and whether someone produces enough milk for the baby.
Is it safe to breast feed?
Yes, it is safe to breast feed; it does not appear that silicone (an inert substance) or other potentially harmful compounds enter the breast milk and pass to the infant. There may be a slightly higher risk of lactational mastitis (an inflammation of the breast due to breast feeding).
Does implant type (saline versus silicone) impact breastfeeding rates?
No, there is no difference in breastfeeding rates between the two implant types.
Does pocket placement impact breastfeeding ability?
Placement of the breast implant over the muscle may decrease breastfeeding rates, due to disruption of certain nerves to the breast that may help with the milk letdown reflex. Implant placement under the muscle may have a protective effect on breastfeeding ability/rates.
Breastfeeding when both an implant and lift are performed?
It depends. Based on the technique used to move the nipple (the pedicle – meaning the blood supply), there are varying rates of long-term breastfeeding ability; my technique involves using a superior or superomedially based blood supply to move the nipple up into its desired position. This technique is most associated with preservation of breastfeeding ability.
If you have more questions about this topic or others, please send us a message on Instagram or call to schedule a consultation! Look forward to seeing you.
Sincerely,
Rajiv Iyengar, MD
