Concerns with over the Muscle Breast Implants After Pregnancy
- Asked by A2CnLuvinIt in Houma, LA
- 4 years ago
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?
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.
Web reference: http://www.randcosmeticsurgery.com
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 well to discuss at your initial consultation with your borad-certified plastic surgeon. Best of luck to you.
Web reference: http://www.medwardsmd.com/plasticsurgery_questions1.html
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 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!
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.