Breast augmentation and breastfeeding
Dr Arie Azuelos' blog in Paris
Breast augmentation is a surgical procedure that increases the size of the breasts. For women considering breast augmentation, the question of the impact on possible future breastfeeding is a recurring one.
What is breast augmentation?
Breast augmentation using implants is one of the most common procedures in plastic and aesthetic surgery. It involves inserting a breast prosthesis to increase the volume of the breasts. This procedure can correct a number of problems, such as breasts that are naturally small (hypotrophy), non-existent (agenesis), or malformed due to conditions such as tuberous or Poland’s breast syndrome, or breasts that are drooping or empty after ageing or weight loss.
The operation
This type of surgery is generally quick and painless, and the effect is immediate and stable over the long term. The operation can last about an hour if performed alone, and is carried out under general anaesthetic. The implants, which need to be changed approximately every ten to fifteen years, are placed either under the pectoral muscle or under the mammary gland, depending on the patient’s specific needs and the desired result. The choice of size, shape and firmness of the prostheses is made after in-depth consultation with the surgeon to ensure that the patient’s expectations are fully met.
Pre- and post-operative precautions
It is necessary to stop smoking at least one month before and after the operation to minimise risks and improve healing. It is also advisable to stop taking certain medicines, such as anticoagulants and aspirin in particular. Temporary restrictions on certain sporting activities are imposed to promote good healing.
Impact of breast augmentation on breastfeeding
Possibility of breast-feeding after the operation
Breast augmentation, while an effective solution to aesthetic concerns, can still affect the ability to breastfeed depending on the technique used and the placement of the incisions. For example, incisions made under the mammary fold or through the armpit tend to preserve the nerves and milk ducts more effectively than those made around the areola. Such technical choices can reduce the risk of disrupting the mammary gland and the nerves essential for breastfeeding.
It is also important to consider that each woman is unique in terms of anatomical structure and response to surgery. Certain types of implants and their positioning can exert pressure on the mammary glands, which could potentially affect milk production. For example, implants placed under the pectoral muscle may interfere less with breastfeeding than those placed directly under the mammary glands.
Given these variables, it is crucial to discuss your desire to breastfeed with Dr Arié Azuelos before the operation so that he can plan and adapt the surgery to minimise the impact on the lactiferous structures and nerves associated with breastfeeding.
It is also advisable to monitor the recovery of nipple sensitivity and lactation capacity after the operation. This may include follow-up with a lactation consultant, who will provide advice and techniques to stimulate milk production if necessary.
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