Last update: July 16, 2017

Augmentation Mammoplasty

Low Risk for breastfeeding


Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
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After a surgery for augmentation mammoplasty there is a higher risk for lactation failure with a lower incidence of exclusive breastfeeding and an increased need of effective support among women who are carriers of breast implants.

Involved factors are many:

1- Lost of sensibility and erection capacity of the nipple and disruption of the neuro-endocrine reflex due to section of lateral and medial branches of the 4th-intercostal nerve or neural endings of the areola-nipple complex, depending on type of surgery, may decrease the milk production.

2- Pain of the breast due to pressure from the implant or contraction of the capsule.

3- Possibly, higher incidence of mammary hypoplasia among women with breast implants.

Rare complications are: galactorrhea that is usually treatable and transient, galactocele, prosthesis rotation, seroma and excessive inflammation in the post-natal period.

Injections with Polyacrylamide hydrogel that are used for augmentation of the breast volume have been discouraged in many countries, because they are too often related to complications while breastfeeding or not.

For more info about the effects of Silicone contained in breast implants on breastfeeding, see the specific comment under the term “Silicone”


See below the information of this related product:

Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

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Augmentation Mammoplasty belongs to this group or family:

References

  1. Schiff M, Algert CS, Ampt A, Sywak MS, Roberts CL. The impact of cosmetic breast implants on breastfeeding: a systematic review and meta-analysis. Int Breastfeed J. 2014 Abstract Full text (link to original source) Full text (in our servers)
  2. Tran PL, Houdjati H, Barau G, Boukerrou M. [Breastfeeding after breast surgery: patient information]. Gynecol Obstet Fertil. 2014 Abstract
  3. Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR). Preliminary Opinion on the safety of Poly Implant Prothèse (PIP) Silicone Breast Implants (2013 update). 2013 Full text (link to original source) Full text (in our servers)
  4. Irkoren S, Sivrioglu N. Can excessive breastfeeding be the cause for the upside-down rotation of a breast implant? A case report. Breastfeed Med. 2013 Abstract
  5. Meggiorini ML, Maruccia M, Carella S, Sanese G, De Felice C, Onesti MG. Late massive breast implant seroma in postpartum. Aesthetic Plast Surg. 2013 Abstract
  6. Lawrence RM. Circumstances when breastfeeding is contraindicated. Pediatr Clin North Am. 2013 Feb;60(1):295-318. Abstract
  7. Yang EJ, Lee KT, Pyon JK, Bang SI. Treatment algorithm of galactorrhea after augmentation mammoplasty. Ann Plast Surg. 2012 Abstract
  8. Wang ZX, Luo DL, Dai X, Yu P, Tao L, Li SR. Polyacrylamide hydrogel injection for augmentation mammaplasty: loss of ability for breastfeeding. Ann Plast Surg. 2012 Abstract
  9. Ayestaray B, Dudrap E, Chaibi A. Galactorrhea after aesthetic breast augmentation with silicone implants: report of two cases and management of postoperative galactorrhea. Aesthetic Plast Surg. 2011 Abstract
  10. Madeira EB, de França JC, de Sousa Almeida Filho B, Araújo AL, Vieira SC. Normal Breastfeeding after Breast Reconstruction in a Patient with Poland's Syndrome. Breast Care (Basel). 2011 Abstract Full text (link to original source) Full text (in our servers)
  11. Kang GC, Ong YS. Large unilateral breast autoinflation after breastfeeding linked to polyacrylamide hydrogel injection augmentation mammaplasty. Aesthetic Plast Surg. 2011 Abstract
  12. Cheng NX, Zhang YL, Luo SK, Zhang XM, Hui L, Chen YL, Sheng SY, Wu DH, Wang HB, Li P. Late hematoma, seroma, and galactocele in breasts injected with polyacrylamide gel. Aesthetic Plast Surg. 2011 Abstract
  13. Tung A, Carr N. Postaugmentation galactocele: a case report and review of literature. Ann Plast Surg. 2011 Abstract
  14. Andrade RA, Coca KP, Abrão AC. Padrão de aleitamento materno no primeiro mês de vida em mulheres submetidas a cirurgia de redução de mamas e implantes. \ Breastfeeding pattern in the first month of life in women submitted to breast reduction and augmentation. J Pediatr (Rio J). 2010 Abstract Full text (link to original source) Full text (in our servers)
  15. Zuckerman DM. Reasonably safe? Breast implants and informed consent. Reprod Health Matters. 2010 Abstract Full text (link to original source) Full text (in our servers)
  16. Andrade RA, Coca KP, Abrão AC. Breastfeeding pattern in the first month of life in women submitted to breast reduction and augmentation. J Pediatr (Rio J). 2010 Abstract
  17. Chun YS, Taghinia A. Hyperprolactinemia and galactocele formation after augmentation mammoplasty. Ann Plast Surg. 2009 Abstract
  18. Hedén P, Bronz G, Elberg JJ, Deraemaecker R, Murphy DK, Slicton A, Brenner RJ, Svarvar C, van Tetering J, van der Weij LP. Long-term safety and effectiveness of style 410 highly cohesive silicone breast implants. Aesthetic Plast Surg. 2009 Abstract
  19. Marino A, Patel T, Whitten E, Peiris AN. Persistent hyperprolactinemia following mammoplasty: a rare association. Tenn Med. 2009 Abstract
  20. Kjøller K, Friis S, Lipworth L, McLaughlin JK, Olsen JH. Adverse health outcomes in offspring of mothers with cosmetic breast implants: a review. Plast Reconstr Surg. 2007 Abstract
  21. Michalopoulos K. The effects of breast augmentation surgery on future ability to lactate. Breast J. 2007 Abstract
  22. Lin J, Qian YL, Yang Q, Zhang YX, Yang C, Zhang B, Zhu C. [Clinical analysis of complications of polyacrylamide hydrogel injection for augmentation mammoplasty in 118 cases]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Abstract
  23. Yue Y, Luan J, Qiao Q, Mu LH, Fan F, You JJ, Wang S. [Retrospective analysis of complications of breast augmentation with injected polyacrylamide hydrophilic gel in 90 cases]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Abstract
  24. Inguenault C, Capon-Degardin N, Martinot-Duquennoy V, Pellerin P. [Galactorrhea after mammary plastic surgery]. Ann Chir Plast Esthet. 2005 Abstract
  25. Acartürk S, Gencel E, Tuncer I. An uncommon complication of secondary augmentation mammoplasty: bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts. Aesthetic Plast Surg. 2005 Abstract
  26. Hill PD, Wilhelm PA, Aldag JC, Chatterton RT Jr. Breast augmentation & lactation outcome: a case report. MCN Am J Matern Child Nurs. 2004 Abstract
  27. Johansson AS, Wennborg H, Blomqvist L, Isacson D, Kylberg E. Breastfeeding after reduction mammaplasty and augmentation mammaplasty. Epidemiology. 2003 Abstract
  28. Hurst N. Breastfeeding after breast augmentation. J Hum Lact. 2003 Abstract
  29. Zimpelmann A, Kaufmann M. [Breastfeeding nursing after breast surgery]. Zentralbl Gynakol. 2002 Abstract
  30. Signorello LB, Fryzek JP, Blot WJ, McLaughlin JK, Nyrén O. Offspring health risk after cosmetic breast implantation in Sweden. Ann Plast Surg. 2001 Abstract
  31. Janowsky EC, Kupper LL, Hulka BS. Meta-analyses of the relation between silicone breast implants and the risk of connective-tissue diseases. N Engl J Med. 2000 Abstract Full text (link to original source) Full text (in our servers)
  32. Hurst NM. Lactation after augmentation mammoplasty. Obstet Gynecol. 1996 Abstract
  33. Caputy GG, Flowers RS. Copious lactation following augmentation mammaplasty: an uncommon but not rare condition. Aesthetic Plast Surg. 1994 Abstract
  34. Rothkopf DM, Rosen HM. Lactation as a complication of aesthetic breast surgery successfully treated with bromocriptine. Br J Plast Surg. 1990 Abstract
  35. Soules MR, Hansen LW, Tucker KR, Buehler PK. Prolactin secretion in women after plastic breast augmentation and reduction. Ann Plast Surg. 1986 Abstract
  36. Ruíz-Velasco V. Hyperprolactinemia and mammary prostheses. A report of eight cases. J Reprod Med. 1986 Abstract
  37. El-Hassan ND, Zaworski RE, Castro A, LeMaire WJ. Serum prolactin levels following augmentation mammaplasty. Plast Reconstr Surg. 1981 Abstract

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