Changes will occur after pregnancy

" Ruin" is a pretty harsh term for the changes that occur in the breast after pregnancy.  Essentially there are a variety of changes that can occur and they run the gamut from no change to tissue atrophy to drooping and other problems.  The more the engorgement, usually, the more drastic the changes. Also individual changes can be variable and a lot of it depends on your genetic make-up.  Sorry to be so vague, but there are just so many possibilities that it is very hard to say.  If you do experience changes I would wait till you have finished your family before you embark on any revisional surgery of your breasts.  Wishing you all the best.

Is this this your first pregnancy? Do you plan on  multiple pregnancies?

It really depends on several factors:

1. How much breast tissue you currently have?
2. The technique of breast reduction (free nipple graft)
3. The size your breasts become during pregnancy?
4. Your skin elasticity?
5. The integrity of your breast cutaneous ligaments (Cooper's ligaments)?

Your final breast shape will be influenced by these factors as well as your genetic tendencies.

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Pregnancy  with the associated breast engorgement and lactation can contribute to volume loss after lactation, and to the gradual ptosis of the breast, or droop of the nipple relative to the fold under the breast. Studies have looked into the contribution of breast feeding alone as a contribution to breast ptosis and findings have shown that breast feeding will not cause the breast to sag or droop. Individuals should not be discouraged from breast feeding as it will not in itself "ruin" the shape of the breast.

One of the greatest benefits of breast reduction is the lift created as the large breast is reduced. The breast lift seen after reduction is permanent, and multiple pregnancy, or breast feeding will not "ruin" the shape. Lactation will occur in the reduced breast, and unfortunately with substantial reduction lactation may be insufficient and a supplement may be needed. If breast feeding is very important to you, certainly delay reduction until after your family is completed. If not, it is safe to proceed. You should enjoy the result.

Best of luck,

peterejohnsonmd

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