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Pregnancy Today's Advisory Panel Answers:
Can I breastfeed if I have breast implants?

by Melissa Clark Vickers
      MEd, IBCLC
Lactation Consultant
Melissa Clark Vickers, MEd, IBCLC

Question

I'm considering breast augmentation. I also plan to conceive in the next year. What effects could the surgery have on breastfeeding?

This depends a lot on how the surgery is done, and whether you have it done by someone who is experienced in breast surgery with the goal of preserving breastfeeding in the process. The biggest concern with any kind of breast surgery is that the nerves and milk ducts around the nipple may be severed. If this happens, then breastfeeding becomes difficult, if not impossible (although the nerves have been known to reconnect in a small percentage of women).

Breast augmentation surgery, however, doesn't usually involve incisions close to the nipple or areola (the dark area around the nipple). Talk with your surgeon about how the incision will be made. Incisions made in the fold below the breast rarely interfere with breastfeeding. Incisions made in the armpits--if the surgeon is careful to avoid nerves--are not likely to interfere.

One other note--breastfeeding naturally augments breasts--at least as long as you are nursing!

See also I have silicone breast implants. Can I breastfeed my baby?.

This Week's Expert Q & A

Kathy Loebel, certified nurse-midwife, answers: “How can I avoid an episiotomy or tearing?"

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