Wait Until After Children for Breast Augmentation?

I am 24 years old and have been contemplating getting a breast augmentation for many years, the only thing holding me back is that i don't have any children yet. Is it recomended to wait until after children? and if not will I still be able to breast feed if I have breast implants?

Doctor Answers (64)

Breast Implants before children

+5
I perform breast implants on many women before they have children. Women can be very pleased with their breast following pregnancies and breast feeding and not feel the need for further surgery. it is safe to have breast implants before becoming pregnangt and safe to breast feed with breast implants
However, there is a possibility that breasts may lose some tome or change shape to some degree after pregnancy. The decision is up to the woman to decide what makes sense for he. I do encourage women who are hoping to become pregnant right away to wait on a breast augmentation surgery until after children


Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 37 reviews

Breast augmentation: before or after children

+4

One of the questions I get asked a lot about breast augmentation is whether or not to have it before having children.  This is a bit of a difficult question to answer, because there is no totally right answer.  But to cut to the chase, I would say that if you are going to have children in the next year or so, I would probably wait; but then again, you don't have to if you don't want to.

The real issue is: how will one or more pregnancies, and/or breast feeding change your breast?  And when we are talking about changes, this biggest issue is sagging.  The problem here is that this is very difficult to predict.  Some women have tremendous changes in breast shape and size, and some have almost none.  It seems to me, that the smaller women are in terms of their breast size, the lesser the changes may be after pregnancy (but, again, this is not always the case).  Certainly if there is a women has a little bit of a larger breast and already has some relaxation, there is a greater chance that she will have significant changes after children.   So trying to figure out how pregnancies will change the breasts is really the crux of the matter.

Sometimes you can get some insight into how and if you will change.  if you have the same build as your mother, you may experience the same type of changes she did after pregnancies.  Or, if you have had significant changes in your weight, and there was not much change in your breast size and shape, pregnancy may not affect your breasts too much.

Another thing to keep in mind, is that many women without implants will have changes in their breasts after children.  Many of these will elect to have a breast lift, or a breast lift with implants.  If you already have implants in place,and  then have changes in your breasts in terms of sagging, you may wish to have a lift and not need to have anything done about the implants.  In which case you are in the same position as women who have naturally larger breasts without implants.

One thing is clear: breast implants present no danger or risk to you or your unborn child or children. This does not need to be a concern.  Also, there is no problem with feeding if you have implants.

So, whether to have your breast implants now, or after children is a very personal decision.  If you are not ready or not sure,  you should not be pressured.  Probably the best way to sort this all out, is to have a consultation with a Board-certified plastic surgeon to discuss you options and come up with the right option for you.

Best of luck!

David B. Reath, MD
Knoxville Plastic Surgeon
5.0 out of 5 stars 83 reviews

Breast Feeding and Breast Implants

+2

This is a good and common question.  The quick answer is that many women undergo augmentation and go on to breast feed without issue.  Any time breast tissue is manipulated, there is the possibility that it will change the functional capabilities of the breast. To my knowledge, however, there is no good evidence to suggest your ability to breast feed is likely to be impacted with implants.  The question is really when you are ready, and if that is now, before children, you should be able to go ahead with confidence.  Find a Board Certified Plastic Surgeon you trust and have this discussion with him/her.  The two of you together should be able to figure out if you are ready. 

Best,

Dr. Pyle

Jeremy Pyle, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 18 reviews

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Breast Augmentation before children

+2

There is no right or wrong whether to have a breast augmentation before you have children.  There are, however, a few things to keep in mind.  The first relates to breast feeding.  There is a small but still real possibility of having difficulty with breast feeding. This relates to issues with the nerves in the breast which can be affected by breast augmentation surgery.  This is something that should be brought up by your surgeon when you visit.   Another thing to keep in mind are the changes to the breast that can occur with breast feeding and pregnancy.  The skin stretches and the breast become engorged, sometimes leaving long lasting changes to the skin--stretching it out and stretching the areola out.  This may change the way the breasts look and ultimately may require another surgery to bring back a more "youthful" appearance.  If you are contemplating having children in the near future, holding off may be beneficial.  If you feel that the importance of having the surgery now outweighs these other considerations, then now may be the best time for you!

 

Brian C. Reuben, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast implants don't affect nursing

+2

I agree with the former posts. If you are thinking about having children soon, then it is best to wait. You are young and so your breasts should bounce back fairly well for the next 5-10 years. If you are thinking it may be a few years then I think you can do it now. Implants should not impact your ability to breast feed in the future and you can start enjoying them now. Long term, many people like myself think that the implants help preserve the breast shape and result in less breast "droop" over time. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
5.0 out of 5 stars 37 reviews

Breast augmentation and pregnancy plans

+2

My advice is that if you have plans to have children within the next year, wait until at least six months after you stop breast feeding to have a breast augmentation. If you are more likely to have your children at least a year in the future, then proceeding with the surgery seems reasonable to me and would be safe. The risk of having problems with breast feeding when average sized implants are placed in the subpectoral space is very minimal. There is a risk of seeing some change to the breast shape and volume after pregnancy. But I have had several patients who have had children after their augmentation sugery without seeing any significant problems.

William T. Stoeckel, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 34 reviews

Breast augmentation before having children

+2

Hi camgirl

This is a very important and common question you are asking. Studies have shown that most women can successfully nurse or breast feed their children following breast augmentatio. Regarding the timing of the operation, my recommendations are to delay the procedure for those who are planning on having children in the near future. If it would be many years before someone were planning to have children then it would be very reasonable to have the procedure prior to that time. For those patients who are in between, it becomes very personal. The choice depends on how much benefit the changes of breast implants will provide  for self image and lifestyle versus the possibility of needing additional surgery following pregnancy.

I hope this information is helpful to you.

Wayne Yamahata, M.D.,F.A.C.S.

Wayne I. Yamahata, MD
Sacramento Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast augmentation and breast feeding

+2

Hello,

Breast augmentation should not affect breast feeding.  Implants used in breast augmentation are placed beneath the breast gland regardless of whether they are placed subpectoral, subfascial, or subglandular.  Incisions around the areola may damage some of the ducts and may in theory affect breast feeding but all data currently shows that in general breast augmentation does not affect breast feeding.

All the best,

Dr Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 81 reviews

Breast Augmentation, Breast Feeding, and Pregnancy

+2

These are very thoughtful, mature questions to ask when considering breast augmentation.

I agree with other writers:  if you are considering having children in the near future, I would recommend that you wait until you have finished having children before undergoing breast augmentation.

If you are not in a serious relationship and are not planning on having children in the near future, you may want to proceed with breast augmentation surgery sooner rather than later. 

The benefit of waiting to get breast implants until after you have had children, is that often times women with implants (like women without implants) will need a breast lift or other revisionary surgery after having children.  Pregnancy engorges the breasts, stretches the skin, and weakens the suspensory ligaments of the breasts.  This, along with the added weight of an implant, may lead to sagging and deflation of the breasts after pregnancy.  Thus, postponing surgery until after you have children may save you an additional operation and make future augmentation easier than revising an already augmented breast.  

While most women who undergo breast augmentation are able to breast feed, some women do have difficulty or are unable to breast feed after placement of breast implants.  Incisions around the nipple, placement of implants above the muscle, and large breast implants all increase the risk of postoperative breast feeding difficulty.

Be sure to discuss these questions with your plastic surgeon at the time of consultation.

Jaime Perez, M.D.

Breast Augmentation Specialist

Plastic Surgery Center of Tampa, Florida

Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 24 reviews

Timing Implants Before Pregnancy

+2

Studies show women are successful with breast feeding after augmentation.

The breast will likely change through multiple pregnancies.

If you are planning pregnancy in the very near future, it may make sense to wait until you are done with pregnancy and breast feeding.

The answer is a very personal one, and worth discussing in consultation

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.