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Concerns with over the Muscle Breast Implants After Pregnancy

asked 3 years ago by A2CnLuvinIt in Houma, LA
Latest answer by Richard P. Rand, MD, FACS
Question viewed 479 times
Tags: breasts, breast feeding

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?

Read my review "On Top of the Muscle Implants"

3 answers to Concerns with over the Muscle Breast Implants After Pregnancy

+1

Go under the muscle

There is really no good reason to be above the muscle in my opinion. The mammograms are less accurate, the implants look more edgy and are more palpable, the capsular contracture rates are higher and they don't look as natural. These issues plus the fact that above the muscle implants DON'T LIFT YOU make this position useless in my practice.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Under the muscle is your best option

The less that is done between the breast tissue and the nipple the better the chance of successful breast-feeding. I tell all of my patients that I cannot guarantee that they will be able to breast feed with or without surgery. Under the muscle isolates more of the implant from your breast tissue, at least in the upper half to 2/3 of the breast. Additionally some literature suggests that incisions aroud the areola may decrease your ability to breast feed. This is a great question as... more
Michael C. Edwards, MD

Las Vegas Plastic Surgeon

www.medwardsmd.com

+1

If you are concerned about breast feeding then under the muscle implants are a better option.

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... more
David Rankin, MD

Jupiter Plastic Surgeon

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