What Breast Feeding Complications are Associated W/ Fat Transfer Breast Augmentation?
- Asked by Nicole1988 in CA
- 2 years ago
I am debating between "natural" breast augmentation using fat grafts and traditional breast augmentation using saline implants placed below the muscle and inserted either thru the areola or the axilla. I want to know if there is any evidence suggesting fat transfer to the breasts may adversely affect a woman's ability to breastfeed, and if so, whether this risk is GENERALLY greater than that associated with the aforementioned "traditional" approach to augmentation using implants.
Breast augmentation with implants does not affect nursing.
Breast augmentation with implants does not interrupt connections between breast glands and the ducts leading to the nipple, and so does not affect the ability to nurse. Fat grafting to the breast is a new, hot procedure but is not yet well studies regarding long term safety, durability and outcome. No study has looked at breast feeding after fat graft augmentation, but unlike implant insertion in which all work is done deep to the breast, fat grafting involves many large needle sticks into the breast tissue, and logically has the potention to injure the breast gland and ducts, affecting breast feeding. More importantly though is that changes caused by fat grafting may make detection of cancer much more difficult with screening mammography. Implants are not a perfect solution, but they are proven and safe. The jury is still out on the safety of fat grafting to the breast for augmentation.
Fat Transfer and Breast Feeding
The impact of fat transfer on breast feeding is not known. If you are doing a breast augmentation with fat transfer you will probably need multiple sessions and still not get to the size that an implant can give you. After multiple sessions of fat transfer and some expected fat absorption there is no study to determine what the impact on breast feeding will be. We do know that there is very little impact on breast feeding when an implant is placed below the muscle.
Fat transfer breast augmentation and breast feeding
Good question, but to my knowledge there are not enough cases to do a statisticly meaningful study.
In my experience in 37yrs. I have not seen any problems with breast feeding with any type of implant , in any incision, in any position.
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Breast Feeding After Augmentation
You certainly can breast feed after undergoing an augmentation using implants. There is not a large volume of experience with fat transfer at this time, but there is no reason to suspect that this would have an adverse effect on future breast feeding. The main concern with fat transfer has been calcifications in the transferred fat that might be confusing on mammography, but that seems to be of a theoretical than a real concern at this time.
Fat transfer is NOT a good way to enlarge breasts.
Neither implants (silicone or saline) nor fat transfer should have any effect on ability to breast feed, or cause any change in the quality or safety of the breast milk. This has been looked into exhaustively (as related to silicone breast implants--1999 study by US Dept of Health and Human Services, Institute of Medicine, National Academy of Sciences) and the conclusion was that "evidence for health effects in children related to maternal breast implants is insufficient or flawed."
Fat grafted breast tissue, however, while not causing concern related to breast feeding, DOES raise concerns with mammographic detection of breast cancer. Specifically, some of the grafted fat does not survive, and can cause the development of calcifications that could mimic calcifications associated with breast cancer, potentially interfering with cancer detection. Grafted fat that does not survive can also cause scar densities that further interfere with mammography. Though these may be described as "potential" or "theoretical" concerns, breast implants (particularly submuscular ones) do not cause these concerns (though some would argue that periareolar incisional approaches with dissection through the breast tissue could also cause these confusing scar densities or calcifications much the same as fat grafts.)
'There is a reason that "traditional" breast augmentation is recommended by the vast majority of experienced, ABPS-certified plastic surgeons (and fat grafting is NOT), and that is because implants still represent the best and safest way for a woman to enlarge her breasts.
Affect of fat injections on breast feeding are unknown
There are no available studies or information on breast feeding after fat transfers to augment the breast. There are plenty on breast implants and they will have no effect on breast feeding. Fat transfers to the breast are controversial because of liquid cysts and calcifications produced and the literature is not trending in a 'positive' way. Be careful.
Best of luck,
Web reference: http://www.peterejohnsonmd.com
I would not reccomend fat injection for breast enlargement. It has nothing to do with breast feeding, I do not feel it is a good procedure. The fat can die, be replaced with calcification and it is not as good as a standard augmentation.
Web reference: http://www.wrmd.com
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.