When implants are placed under the muscle through an incision underneath the breast (in the crease), there is no division of the breast tissue or breast ducts (well, very little). However, when implants are placed directly under the breast over the muscle, there is a greater liklihood that milk ducts will be divided (especially if the incision is around your areola/nipple), and you will have decreased milk production. I would recommend submuscular implants for you if you are concerned about breast feeding in the future. As far as safety to the baby, studies show there is no greater risk with implants. Also, to answer your question, your are not more likely to retain volume in your breasts due to the placement of an implant prior to pregnancy. Hope this was helpful!
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If you are concerned about breast feeding then under the muscle implants are a better option.
David Rankin, MD answers: Concerns with over the muscle breast implants after pregnancy
I am about to get married and we wanted to start a family right away. My whole family has breast fed and I plan on doing the same. Also, I know that typically after pregnancy you tend to lose volume in your breasts. What are the odds with over the muscle placement for breast implants? Will be able to breast feed, and is it safe for the baby? Am I more likely to retain the volume in my breasts due to the implant being on top of the muscle?
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