Expert: Pre-marital breast augmentation does not affect breastfeeding
Modern women take pride in their upright and full breasts. Therefore, numerous women are attempting to use medications or devices to fundamentally reshape themselves and restore their "mountains." However, the primary function of the breasts is still breastfeeding. So, does breast augmentation affect breastfeeding?
Director Tan Xin Dong from Guangzhou believes that breast augmentation with implants generally involves inserting artificial implants. According to factors such as the patient's age, occupation, cultural literacy, thoracic shape, body fatness or thinness, height, and individual aesthetic views, a breast implant with appropriate volume, width, and rise slope is selected. The choice of implant position is very important. The incision for breast augmentation surgery is usually made in a relatively hidden area. Currently, commonly used surgical incisions are around the areola and under the armpit. Submammary implantation involves placing the breast implant beneath the superficial mammary tissue of the pectoralis major muscle. The surgery is simple, causes minimal damage, and the appearance and tactile sensation of the augmented breast look very natural. Subpectoral implantation involves placing the breast implant deep within the pectoralis major muscle, which can reduce the chances of implant rupture and fibrocystic contraction. The separation is accurate, there is less bleeding, and it is easy to separate. However, when separating near the sternum edge at about 1.0 cm, care should be taken to avoid damaging the intercostal branches of the internal thoracic artery; otherwise, bleeding may easily occur. The reason these two implant locations are chosen is because they are behind the mammary glands, allowing the mammary glands to remain unaffected by the implants. Even after childbirth, breastfeeding is generally not affected.
Director Tan emphasizes the structure of the breast: The breast is composed of mammary glands and fat. Upon entering puberty, the breast is influenced by hormones within the body, gradually developing and increasing in size, eventually reaching a mature state of prominence. The expanded part mainly consists of fat and mammary tissue. The mammary tissue in the breast normally only occupies a portion of the breast and develops and enlarges during pregnancy when lactation is required. An ideal breast should be a full cone or hemisphere, with an elliptical base. The nipple is located at the top, pointing forward and outward, slightly upward protruding. The skin of the breast is delicate, soft yet firm, slightly elastic, with a soft texture. Its location and size are symmetrical on both sides, located between the third and seventh ribs, and between the sternum and side chest. The nipple diameter is approximately 1.0~1.2cm, with a height of about 4~7mm. The areola diameter is approximately 3.5~4.5cm.
Although breast augmentation surgery generally does not affect future breastfeeding, if the surgery encounters unexpected issues, it becomes difficult to avoid problems with breastfeeding.
Director Tan Xin Dong points out that unforeseen factors affecting breastfeeding: With the current level of medical technology in plastic surgery, as well as the selection of materials and techniques, breast augmentation surgery is largely safe and will not affect a woman's ability to breastfeed in the future. However, once some unforeseen circumstances arise, involving the mammary glands, causing infection, lumps, and fibrosis, it may affect the normal physiological functions of the mammary glands, leading to breastfeeding difficulties.
Reason One: Implant Rupture - If the implant ruptures due to product quality issues or external trauma, and leaks into the mammary tissue, it can cause acute inflammation of the mammary glands, potentially blocking the mammary ducts and causing poor drainage. If treatment is not timely or the problem is not properly handled and resolved, it may affect milk secretion and drainage, leading to breastfeeding issues.
Rescue Methods:
1. Anti-infection.
2. Removal of the ruptured implant.
3. Surgical treatment if abscess occurs.
4. Incision and drainage.
Reason Two: Infection, Severe Bleeding - Surgical trauma is unavoidable, and postoperative treatment is essential. If infection or wound bleeding occurs, affecting the mammary glands, conditions such as mastitis, mammary fibrosis, and breast lumps may arise.
Rescue Methods:
1. Hemostasis and anti-infection.
2. Removal of the implant.
3. Hot compresses and physical therapy.
4. Avoid using liquid silicone gel to prevent fluid movement and leakage.
Small Tips:
Before you prepare for breast augmentation, there are certain things you must understand beforehand:
1. During your consultation, the doctor will ask about your expected breast size and any important breast-related issues you consider significant. This will help your doctor understand your expectations and determine the realism of those expectations.
2. During the consultation, the doctor will examine your breasts and document information regarding the size and shape of your breasts, the texture of the skin, and the position of the nipples and areolas.
3. You should be prepared to answer questions about your medical history, including drug allergies, treatments received, previous surgeries, and any medications you are currently taking.
4. You may be asked about family history of breast cancer; answer truthfully.
5. If you plan to lose weight, inform your doctor so they can decide on the appropriate size of the implant based on your stable weight.
6. If you are planning to get pregnant soon, inform your doctor. They will determine the appropriate size of the implant based on your requirements and actual situation.
7. Breast augmentation generally does not affect pregnancy and breastfeeding, but choosing a reputable hospital and a skilled, experienced doctor is still necessary.
8. If any issues arise, seek medical attention promptly and receive reasonable, standard, systematic treatment to prevent affecting the physiological functions of the breast.
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