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Breast Augmentation and Breast Feeding

Introduction

Becoming a mother is a transformative journey filled with immense joy and a unique set of questions and concerns. For women who have undergone or are considering breast augmentation and breast feeding, one of the most pressing questions revolves around breastfeeding. Can you breastfeed with implants? Will breast augmentation affect your ability to nourish your baby? At Marin Aesthetics, we understand these concerns deeply, and we’re here to provide you with a comprehensive guide to navigate the realities of breast augmentation and breastfeeding. This in-depth article will address your questions, dispel common myths, and empower you with the knowledge to make informed decisions about your body and your baby’s well-being.

The desire to enhance one’s appearance through breast augmentation is a personal choice, and it shouldn’t have to come at the expense of the equally profound desire to breastfeed your child. Fortunately, for the vast majority of women, these two aspirations can coexist beautifully. Let’s delve into the intricacies of breastfeeding with implants, exploring the potential impact, the different types of implants and surgical techniques, and practical advice to ensure a successful breastfeeding journey.

Understanding the Potential Impact of Breast Augmentation and Breast Feeding

While most women with breast implants can successfully breastfeed, it’s crucial to understand the potential ways in which the surgery might, in some cases, affect milk production or transfer. The primary factors influencing this are the surgical approach and the placement of the implants.

Surgical Incisions and Nerve Damage: The incisions made during breast augmentation can, in rare instances, affect the nerves responsible for stimulating milk production. These nerves play a vital role in the let-down reflex, the process by which milk is released from the breast. The common incision sites include:

  • Inframammary: An incision made in the crease beneath the breast. This approach generally has the lowest risk of impacting breastfeeding.
  • Periareolar: An incision made around the areola (the darker skin surrounding the nipple). This approach carries a slightly higher risk of nerve damage due to its proximity to the nipple and areola, which are rich in nerve endings.
  • Axillary: An incision made in the armpit. This approach typically has a lower risk of directly affecting the milk ducts and nerves involved in breastfeeding.
  • Transumbilical (TUBA): An incision made in the belly button, through which implants are inserted. This method is least likely to interfere with breast function.

Implant Placement and Glandular Tissue: The placement of the implants, either above or below the pectoral muscle, can also play a role.

  • Subglandular Placement (above the muscle): In this placement, the implant is situated directly beneath the breast tissue. There’s a theoretical risk of the implant compressing the milk ducts, although this is not a common occurrence.
  • Submuscular Placement (below the muscle): In this placement, the implant is positioned beneath the pectoral muscle. This is generally considered less likely to interfere with the mammary glands and milk ducts.

It’s important to note that even with periareolar incisions or subglandular placement, the vast majority of women still produce sufficient milk for their babies. However, it’s essential to discuss your surgical history with your healthcare provider and lactation consultant to identify any potential risks and develop a proactive breastfeeding plan. At Marin Aesthetics, our surgeons prioritize techniques that minimize the potential impact on future breastfeeding.

Breastfeeding with Implants: What the Research Says

Extensive research has been conducted on the relationship between breast augmentation and breastfeeding. The overwhelming consensus is that most women with breast implants can successfully breastfeed their babies. Studies have shown that the presence of implants generally does not affect the composition or nutritional value of breast milk.

However, some studies have indicated a slightly higher incidence of perceived insufficient milk supply in women with breast augmentation compared to those without. This could be attributed to various factors, including potential nerve damage from surgery, as mentioned earlier, or even psychological factors related to concerns about their ability to breastfeed.

It’s crucial to approach breastfeeding with realistic expectations and seek support from lactation professionals. Early and frequent breastfeeding, proper latch techniques, and addressing any concerns promptly can significantly contribute to a successful breastfeeding journey, regardless of whether you have implants.

Practical Tips for Successful Breastfeeding with Implants

While the majority of women with breast implants experience no significant issues with breastfeeding, being prepared and proactive can make the process smoother and more enjoyable. Here are some actionable tips:

  • Communicate with Your Healthcare Team: Inform your obstetrician, pediatrician, and lactation consultant about your breast augmentation history, including the type of implants, incision sites, and placement. This information will help them provide tailored support and monitor your breastfeeding progress.
  • Early and Frequent Breastfeeding: Initiate breastfeeding within the first hour after birth, if possible, and breastfeed frequently on demand. This helps stimulate milk production and establish a good milk supply. Aim for at least 8-12 feedings in 24 hours in the early weeks.
  • Ensure Proper Latch: A deep and effective latch is crucial for efficient milk transfer and preventing nipple pain. Work closely with a lactation consultant to ensure your baby is latching correctly. Different breastfeeding positions might be more comfortable and effective with implants.
  • Monitor Baby’s Weight Gain and Hydration: Regular check-ups with your pediatrician will ensure your baby is gaining weight appropriately and is adequately hydrated, which are key indicators of sufficient milk intake.
  • Be Patient and Persistent: Breastfeeding can take time and practice for both you and your baby. Don’t get discouraged by initial challenges. Seek support from lactation consultants, breastfeeding support groups, and your partner.
  • Consider Hands-on Pumping: If you have concerns about milk supply, hands-on pumping after breastfeeding sessions can help stimulate further milk production and ensure adequate drainage of the breasts.
  • Stay Hydrated and Nourished: Maintaining a healthy diet and drinking plenty of fluids is essential for optimal milk production.
  • Address Concerns Promptly: If you experience any difficulties with breastfeeding, such as persistent nipple pain, signs of poor milk transfer, or concerns about your baby’s weight gain, seek professional help from a lactation consultant immediately.
  • Explore Different Breastfeeding Positions: Experiment with various breastfeeding positions like the cradle hold, cross-cradle hold, football hold, and laid-back breastfeeding to find what is most comfortable and effective for you and your baby. Implants might alter the natural shape and feel of your breasts, making certain positions more suitable than others.
  •  Trust Your Body: Remember that your body is capable of amazing things. While breast augmentation is a modification, it doesn’t inherently prevent you from nurturing your baby. Trust your instincts and work closely with your support system.

Addressing Common Concerns: Can You Breastfeed with Implants Safely?

One of the primary concerns for mothers with breast implants is the safety of their breast milk for their babies. Extensive research has consistently shown that silicone from breast implants does not leach into breast milk in significant amounts that would harm the infant. The silicone used in modern implants is medical-grade and contained within a multi-layered shell.

While trace amounts of silicone may be present in breast milk in both women with and without implants, the levels are far below any established safety thresholds. Major health organizations worldwide, including the American Academy of Pediatrics and the World Health Organization, have concluded that breastfeeding with silicone breast implants is not contraindicated.

It’s natural to have concerns about this, but the scientific evidence provides reassurance. Focus on establishing a good breastfeeding routine and enjoying this special bonding experience with your baby.

The Importance of Choosing an Experienced Surgeon at Marin Aesthetics

If you are considering breast augmentation and plan to have children in the future, discussing your breastfeeding goals with your surgeon at Marin Aesthetics is crucial. Our experienced surgeons are knowledgeable about techniques that minimize the potential impact on breastfeeding. We prioritize:

  • Careful Incision Placement: Choosing incision sites that are less likely to interfere with the nerves and milk ducts.
  • Appropriate Implant Placement: Discussing the pros and cons of subglandular versus submuscular placement in relation to your future breastfeeding plans.
  • Detailed Pre-operative Counseling: Providing comprehensive information about the potential effects of surgery on breastfeeding and addressing all your concerns.

Our commitment at Marin Aesthetics is to empower you with information and provide surgical care that aligns with your long-term goals, including the ability to breastfeed if you choose.

Conclusion: Embracing Motherhood with Confidence

Breast augmentation does not have to be a barrier to breastfeeding. The vast majority of women with breast implants successfully nourish their babies. By understanding the potential impact of surgery, being proactive with breastfeeding practices, and seeking support from healthcare professionals, you can confidently embark on your motherhood journey.

At Marin Aesthetics, we believe that every woman deserves to feel confident and empowered in her body and her choices. If you have breast implants or are considering augmentation and have concerns about breastfeeding, we encourage you to reach out to us. We are here to provide you with expert guidance and support.

FAQS

1. Can breast implants leak into breast milk?

Modern silicone breast implants have a multi-layered shell designed to prevent leakage. While trace amounts of silicone may be present in breast milk in all women, studies have shown that the levels are not significantly higher in women with implants and are well below safety thresholds for infants.

2. Will breast augmentation affect my milk supply?

For most women, breast augmentation does not significantly impact milk supply. However, in some cases, surgical incisions, particularly periareolar incisions, can potentially affect the nerves involved in milk production. Early and frequent breastfeeding, proper latch, and professional support can help optimize milk supply.

3. Is breastfeeding with saline implants different from breastfeeding with silicone implants?

The type of implant (saline or silicone) is not a significant factor in breastfeeding ability or milk safety. The surgical approach and implant placement are more relevant considerations.

4. What if I experience breastfeeding difficulties with implants?

If you encounter challenges with breastfeeding, such as pain, poor latch, or concerns about milk supply, seek immediate help from a certified lactation consultant. They can assess your individual situation and provide tailored guidance and support.

5. Should I wait until after I finish having children to get breast augmentation?

This is a personal decision. Many women have breast augmentation before having children and go on to breastfeed successfully. Discuss your family planning goals with your surgeon at Marin Aesthetics to make an informed decision about the timing of your procedure.

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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TO OUR MARIN AESTHETICS PATIENTS:

In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing info@marinaesthetics.com. Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team