Last update: Feb. 7, 2020

Augmentation Mammoplasty

Low Risk for breastfeeding


Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
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Although in some published series no breastfeeding problems have been found (Jewell 2019), after a surgery for augmentation mammoplasty there is a higher risk for lactation failure (Marcacine 2018) with a lower incidence of exclusive breastfeeding (Cheng 2018, Schiff 2014, Andrade 2010, Zuckerman 2010) and an increased need of effective support among women who are carriers of breast implants (Roberts 2015).

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.

There is a higher risk of breastfeeding problems with retro-glandular implants than with retro-muscular implants (Bompy 2019, Marcacine 2018).

Rare complications are: galactorrhea that is usually treatable and transient, galactocele, prosthesis rotation, seroma and excessive inflammation in the post-natal period (Zolotykh 2019, Basile 2015, Irkoren 2013, Meggiorini 2013, Yang 2012, Ayestaray 2012, Tung 2011, Chun 2009).

The majority of breast implants contain silicone, which is a polymer made out of silicon-oxygen-methyl combination with a high molecular weight, which makes it practically impossible both to pass into milk in significant quantity and subsequent intestinal absorption by the infant. Those circumstances make silicone implants safe for lactation even if broken or manufacturing fault (Poly Implant Prothèse, PIP). After extensive analysis of such silicone prosthesis, lack of health risk was demonstrated (SCENIHR 2013).

Silicon levels in blood and milk of women with implants (55 ng / ml) are similar to those of women without implants (51 ng / ml), 13 times lower than that found in cow's milk (709 ng / ml) and 80 times lower than in commercial infant formulas (4403 ng / ml).

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 (Bourke 2018, Wang 2012, Kang 2011, Cheng 2011).


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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References

  1. Bompy L, Gerenton B, Cristofari S, Stivala A, Moris V, See LA, Rizzi P, Braye F, Meningaud JP, Zwetyenga N, Guillier D. Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study. Ann Plast Surg. 2019 Jan;82(1):11-14. Abstract
  2. Jewell ML, Edwards MC, Murphy DK, Schumacher A. Lactation Outcomes in More Than 3500 Women Following Primary Augmentation: 5-Year Data From the Breast Implant Follow-Up Study. Aesthet Surg J. 2019 Jul 12;39(8):875-883. Abstract
  3. Zolotykh VG, Kim AY, Shoenfeld Y, Churilov LP. Galactorrhea Following Silicone Breast Implant Placement Isr Med Assoc J. 2019 Aug;21(8):523. No abstract available. Abstract
  4. Woo J, Park BY. Silicone in breastmilk from a breast implant: The hottest issue in Korea. Breast J. 2019 Jan;25(1):151-152. Abstract
  5. Cheng F, Dai S, Wang C, Zeng S, Chen J, Cen Y. Do Breast Implants Influence Breastfeeding? A Meta-Analysis of Comparative Studies. J Hum Lact. 2018 Aug;34(3):424-432. Abstract
  6. Marcacine KO, Abuchaim ESV, Coca KP, Abrão ACFV. Factors associated to breast implants and breastfeeding. Rev Esc Enferm USP. 2018 Oct 11;52:e03363. Abstract
  7. Bourke AG, Jose C. Recurrent complications of PAAG implants during lactation. BMJ Case Rep. 2018 Nov 5;2018. pii: bcr-2017-219688. Abstract
  8. Roberts CL, Ampt AJ, Algert CS, Sywak MS, Chen JS. Reduced breast milk feeding subsequent to cosmetic breast augmentation surgery. Med J Aust. 2015 Apr 6;202(6):324-8. Abstract
  9. Basile FV, Basile AR. Diagnosis and management of galactorrhea after breast augmentation. Plast Reconstr Surg. 2015 May;135(5):1349-56. Abstract
  10. 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)
  11. 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
  12. 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
  13. Lawrence RM. Circumstances when breastfeeding is contraindicated. Pediatr Clin North Am. 2013 Feb;60(1):295-318. Abstract
  14. 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)
  15. Yang EJ, Lee KT, Pyon JK, Bang SI. Treatment algorithm of galactorrhea after augmentation mammoplasty. Ann Plast Surg. 2012 Abstract
  16. 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
  17. Tung A, Carr N. Postaugmentation galactocele: a case report and review of literature. Ann Plast Surg. 2011 Abstract
  18. 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)
  19. Kang GC, Ong YS. Large unilateral breast autoinflation after breastfeeding linked to polyacrylamide hydrogel injection augmentation mammaplasty. Aesthetic Plast Surg. 2011 Abstract
  20. 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
  21. 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
  22. 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)
  23. 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)
  24. 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
  25. Chun YS, Taghinia A. Hyperprolactinemia and galactocele formation after augmentation mammoplasty. Ann Plast Surg. 2009 Abstract
  26. Marino A, Patel T, Whitten E, Peiris AN. Persistent hyperprolactinemia following mammoplasty: a rare association. Tenn Med. 2009 Abstract
  27. 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
  28. 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
  29. 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
  30. Michalopoulos K. The effects of breast augmentation surgery on future ability to lactate. Breast J. 2007 Abstract
  31. Inguenault C, Capon-Degardin N, Martinot-Duquennoy V, Pellerin P. [Galactorrhea after mammary plastic surgery]. Ann Chir Plast Esthet. 2005 Abstract
  32. 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
  33. Hill PD, Wilhelm PA, Aldag JC, Chatterton RT Jr. Breast augmentation & lactation outcome: a case report. MCN Am J Matern Child Nurs. 2004 Abstract
  34. Hurst N. Breastfeeding after breast augmentation. J Hum Lact. 2003 Abstract
  35. Johansson AS, Wennborg H, Blomqvist L, Isacson D, Kylberg E. Breastfeeding after reduction mammaplasty and augmentation mammaplasty. Epidemiology. 2003 Abstract
  36. Zimpelmann A, Kaufmann M. [Breastfeeding nursing after breast surgery]. Zentralbl Gynakol. 2002 Abstract
  37. Signorello LB, Fryzek JP, Blot WJ, McLaughlin JK, Nyrén O. Offspring health risk after cosmetic breast implantation in Sweden. Ann Plast Surg. 2001 Abstract
  38. 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)
  39. Hurst NM. Lactation after augmentation mammoplasty. Obstet Gynecol. 1996 Abstract
  40. Caputy GG, Flowers RS. Copious lactation following augmentation mammaplasty: an uncommon but not rare condition. Aesthetic Plast Surg. 1994 Abstract
  41. Rothkopf DM, Rosen HM. Lactation as a complication of aesthetic breast surgery successfully treated with bromocriptine. Br J Plast Surg. 1990 Abstract
  42. Ruíz-Velasco V. Hyperprolactinemia and mammary prostheses. A report of eight cases. J Reprod Med. 1986 Abstract
  43. Soules MR, Hansen LW, Tucker KR, Buehler PK. Prolactin secretion in women after plastic breast augmentation and reduction. Ann Plast Surg. 1986 Abstract
  44. El-Hassan ND, Zaworski RE, Castro A, LeMaire WJ. Serum prolactin levels following augmentation mammaplasty. Plast Reconstr Surg. 1981 Abstract

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