Breastfeeding with implants

When considering breastfeeding with implants, many mothers might worry whether it's safe and feasible. The good news is that many women with breast implants successfully breastfeed their babies. However, there are a few challenges and considerations to keep in mind.

Is it safe to breastfeed with implants?

Yes, breastfeeding with implants is generally considered safe for both mama and baby. The main concern with implants is whether they might affect milk production or quality.

Most studies show that breast milk from mothers with implants is safe and nutritious for babies. The type of implant (saline vs silicone) does not appear to affect breast milk composition significantly or change the risk of breastfeeding complications.

However, it's always a good idea to discuss your specific situation with an International Board Certified Lactation Consultant (IBCLC) and your healthcare provider.

Can implants affect milk supply?

Implants might affect milk supply, depending on their placement and if there was any damage to milk ducts or nerves during surgery. Implants placed under the muscle (submuscular) are less likely to interfere with milk production than those placed under the glandular tissue (subglandular).

It can also be helpful to know that if you’ve previously breastfed, many women have an increased milk supply following each subsequent pregnancy.

Breast implants may put women at higher risk for clogged ducts and mastitis because of the pressure the implants can place on the milk ducts.

If you're experiencing challenges with milk supply or breast discomfort, consult with an IBCLC for personalized help to increase your milk production.

What if I had surgery through the areola?

Surgery with an incision around the areola might increase the risk of damaging milk ducts and nerves, potentially affecting milk supply and the ability to breastfeed. Not all women who undergo this type of surgery will have issues, but it's something to be mindful of. Surgeries with incisions in the armpit or underneath the breast may have less impact on milk supply.

How to ensure a successful breastfeeding journey with implants

• Early and frequent breastfeeding or pumping after birth: This helps stimulate milk production and establish a good milk supply.
• Monitor baby's weight gain and diaper output: These are good indicators of whether your baby is getting enough milk.
• Seek support: An IBCLC can offer invaluable support and guidance tailored to your unique situation. They can help with positioning, latch, and strategies to boost milk supply if needed.
• Stay hydrated and maintain a healthy diet: Good nutrition and hydration are key for milk production.

When to seek medical advice

• If you notice any unusual changes in your breast tissue or implants, such as pain, swelling, or changes in shape.
• If you're struggling with milk supply despite trying various strategies to increase it.
• If your baby is not gaining weight adequately or has decreased diaper output.

Related issues

It’s also important to consider to original shape of the breast; some breast implants and breast lifts were done because of a wide spacing of the breasts or tubular shape. Both of these original breast shapes can be an indicator for low glandular tissue in the breast and put you at higher risk for low milk supply.

Breast surgery for implants can also sometimes lead to sensory changes in the breast if nerves or blood vessels were severed, affecting the breastfeeding experience. Additionally, concerns about breast engorgement, mastitis, and blocked ducts might arise, as with any breastfeeding journey. An IBCLC can offer guidance on managing these issues effectively.

Breastfeeding with implants can be a fulfilling experience with the right support and information. Remember, every mom's journey is unique, and seeking advice from healthcare professionals and a lactation consultant can help you succeed with your breastfeeding goals.

If you have other questions about implants and breastfeeding, you might find these article helpful:

1. Silicone Breast Implants and Breastfeeding – The Breastfeeding Network
2. Can You Breastfeed With Implants? Doctors Explain Potential Risks (romper.com)
3. BFAR – Breastfeeding after Breast Augmentation Surgery
4. Breastfeeding After Breast Surgery (clevelandclinic.org)

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Sources

• Cleveland Clinic, & Szugye, H. (2023a, June 12). You’ve had breast surgery – will that impact your ability to breastfeed? Cleveland Clinic. https://health.clevelandclinic.org/can-you-breastfeed-with-breast-implants
• Jewell, M. L., Edwards, M. C., Murphy, D. K., & Schumacher, A. (2018). Lactation outcomes in more than 3500 women following primary augmentation: 5-year data from the breast implant follow-up study. Aesthetic Surgery Journal, 39(8), 875–883. https://doi.org/10.1093/asj/sjy221
• Schiff, M., Algert, C. S., Ampt, A., Sywak, M. S., & Roberts, C. L. (2014). The impact of cosmetic breast implants on breastfeeding: A systematic review and meta-analysis. International Breastfeeding Journal, 9(1). https://doi.org/10.1186/1746-4358-9-17