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Can I Breast Feed with Implants?

Yes. Most women who have breast implants are able to breastfeed, although having breast implants can sometimes affect milk production or breastfeeding ability. The FDA notes that some women with implants successfully breastfeed while others may have difficulty. The surgical technique can be an important consideration. An incision in the breast fold (inframammary incision) or armpit generally avoids the milk ducts and nipple, while an incision around the areola may have a greater potential to affect the nerves or ducts involved in breastfeeding Implant placement can also be considered. When implants are placed under the chest muscle, they are separated from much of the breast's milk-producing tissue. This may help preserve normal breast function. It's important to understand, however, that there is no way to guarantee that you will be able to breastfeed after breast augmentation. Some women have difficulty producing enough milk even without having had breast surgery, and breast surgery can potentially affect milk production or nipple sensation.

Clinical Context

Breastfeeding depends on nerve signals from the nipple that trigger release of prolactin and oxytocin, the hormones responsible for milk production and let-down. Anything that disrupts those nerves or the milk ducts can affect breastfeeding, which is one reason incision location matters. Incisions placed in the breast fold or armpit generally stay away from the ducts and nerves near the nipple, while incisions around the areola pass closer to them. Placing an implant beneath the chest muscle also keeps it farther from the breast's glandular tissue.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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