Monday, December 6, 2010

Breast-Feeding after Breast Implants

Breast Feeding after Breast Implants ~ Houston Cosmetic Surgeon

    There are two main types of implants being used for breast augmentation:  silicone gel and saline implants.  Neither silicone gel nor saline implants interfere with breastfeeding.  Although there have been concerns about passing the silicone into breast milk during breast feeding if the implants were to rupture, studies have shown that silicone molecules are too large to pass into the milk ducts and breast gland tissue.
     Although there are no guarantees that one would be able to breast-feed whether you undergo breast augmentation or not, the type of incision may affect one's ability to breast-feed.  There are few choices for incision location for breast augmentation:  periareaolar incision (around the edge of the nipple), inframammary incision (incision underneath the breast), axillary incision (along the arm pit), and periumbilical (around the belly button).
      A periareolar incision may interrupt or disturb the lactiferous/milk ducts of the breast. Clinical studies have shown that women who had breast surgery through a periareolar incision were five times more likely, when compared to women without breast surgery, to have insufficient milk during breast feeding.  A study from Texas Children's Hospital showed that 64 percent of women with breast implants had lactation insufficiency compared to just 7 percent of women without implants.  The study showed that the lactation insufficiency among breast implant patients were mostly seen in patients who had a periareolar incision.  An inframammary incision and placement of the implant under the pectoral (chest) muscles, however, are less likely to affect one's ability to breast-feed.  
     I recommend discussing your concern and your plans to breastfeed with your plastic surgeon when you decide to have a breast augmentation (breast implant placement.)  The type of incision that one of your Houston cosmetic surgeons may use may vary based on individual considerations.

Emmanuel De La Cruz M.D.
http://www.delacruzplasticsurgery.com/