Breast Enhancement Surgery After Pregnancy


Breast enhancement surgery after pregnancy is a highly individualized procedure; it may involve breast augmentation, breast lift, fat grafting, breast reduction, or even a combination of such techniques.

During pregnancy, the breast size increases immensely to prepare the body for milk production.  But once the “normal” hormones return (whether the woman chooses to breastfeed or not), it shrinks along with the “stretchy” skin.  For this reason, the most common complains afterwards are the empty-looking upper breast poles and sagging appearance.

Breast implants can increase “volume” and address the empty-looking or deflated upper poles.  However, some women will need a simultaneous breast lift to really appreciate the results of their breast augmentation surgery.

A surgery involving implants alone is only suitable for women whose nipple area position is correct and it is not enlarged, and the distance between their areola and the submammary fold is quite “decent.”  If not, breast lift is almost always necessary to achieve optimal results.

Because pregnancy affects skin elasticity to some degree, it is not surprising that most surgeons prefer silicone implants (to saline implants) to minimize risk of rippling and palpability.  This “line of thought” is particularly helpful in women with insufficient soft tissue coverage.

If there is no desire for implants, breast lift in its own right can produce satisfying results.  However, it has no or very little effect on the appearance of the upper breast poles; hence, it may be incorporated with other procedures such fat grafting and shifting some of the extra tissue in the lower pole to the chest wall.

Breast lift is also typically combined with breast reduction (and vice versa) because they share the same incision sites.  The goal is to reshape the breasts in a way that they look natural and proportionate to the rest of the body.

To produce results that will satisfy both the surgeon and his patient, breast enhancement surgery requires lengthy consultation and good communications between them.  To improve discussion, a growing number of doctors are using 3D imaging technology.

Implant sizers and photo gallery of previous patients can also serve as an effective communication tool.

Article by
Beverly Hills Plastic Surgeon