Could corrective surgery help with breast and nipple shape, making it easier for baby to latch and breast pump cups to fit properly? With my first child I had a great milk supply, but had difficulty with his latch and couldn't get ANY milk out with the pump. The lactation MD said it was r/t nipple shape d/t tuberous breast deformity. (Puffy nipples are a characteristic she said). Also if silicone implants are safe why MRI every 5 years? Cohesive safer?
Answer: Tuberous breast It's absolutely possible to help patients with tuberous breasts improve their breast shape, and implants have not been shown to interfere with breast feeding (although I can never guarantee this to my patients). Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
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Answer: Tuberous breast It's absolutely possible to help patients with tuberous breasts improve their breast shape, and implants have not been shown to interfere with breast feeding (although I can never guarantee this to my patients). Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
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June 11, 2017
Answer: Implants and lactation Putting an implant and surgically correcting tuberous breast most likely will not affect lactating ability. If anything, it may decrease it from the scarring around the nipple. The recommendation for MRIs is arbitrary. Both classic and cohesive gels are safe, though cohesive may have a lower rerupture rate years later. The long-term data is not available yet.Best of luck! Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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June 11, 2017
Answer: Implants and lactation Putting an implant and surgically correcting tuberous breast most likely will not affect lactating ability. If anything, it may decrease it from the scarring around the nipple. The recommendation for MRIs is arbitrary. Both classic and cohesive gels are safe, though cohesive may have a lower rerupture rate years later. The long-term data is not available yet.Best of luck! Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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June 7, 2017
Answer: Tuberous breasts require specific maneuvers with augmentation First, I think breast augmentation would not be beneficial for issues related to breast feeding and tuberous breasts. An experienced lactation consultant should be able to assist you. Your OB and pediatrician should have consultants for referral. Regarding cosmetic enhancement, various specific maneuvers are often useful depending on your specific goals and physical characteristics. These include (in some cases) use of textured silicone implants, use of anatomic/tear drop implants, a periareolar (circular breast lift), dual plane breast augmentation (a specific technique for release of the lower breast tissue from the pectoralis major muscle), and other maneuvers. The FDA does recommend periodic MRIs as surveillance for leak of silicone implants, but a small percentage of patients actually choose to get MRIs, so discuss this with your plastic surgeon. Thanks for your questions. Good luck.
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June 7, 2017
Answer: Tuberous breasts require specific maneuvers with augmentation First, I think breast augmentation would not be beneficial for issues related to breast feeding and tuberous breasts. An experienced lactation consultant should be able to assist you. Your OB and pediatrician should have consultants for referral. Regarding cosmetic enhancement, various specific maneuvers are often useful depending on your specific goals and physical characteristics. These include (in some cases) use of textured silicone implants, use of anatomic/tear drop implants, a periareolar (circular breast lift), dual plane breast augmentation (a specific technique for release of the lower breast tissue from the pectoralis major muscle), and other maneuvers. The FDA does recommend periodic MRIs as surveillance for leak of silicone implants, but a small percentage of patients actually choose to get MRIs, so discuss this with your plastic surgeon. Thanks for your questions. Good luck.
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June 8, 2017
Answer: Tuberous breasts, surgery & lactation There are definitely procedures that can help improve the appearance of your tuberous breasts. However, I doubt that they will help with lactation. Or at the least, there is no guarantee. Why don't you schedule a consultation with a board certified plastic surgeon to discuss? Best of luck.
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June 8, 2017
Answer: Tuberous breasts, surgery & lactation There are definitely procedures that can help improve the appearance of your tuberous breasts. However, I doubt that they will help with lactation. Or at the least, there is no guarantee. Why don't you schedule a consultation with a board certified plastic surgeon to discuss? Best of luck.
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July 10, 2017
Answer: That is a lot of good questions! There are many ways to correct tuberous beast deformity and nipple deformities. Most of the time, these techniques are not used to correct deformity to aid in difficulty with nursing. Having said that, if you are interested in correcting the shape of your breast and nipples because of cosmetic concerns and other reasons, improved ability to nurse your baby might be an added benefit. Overall, you would need a consultation with a Plastic Surgeon to examine you to understand exactly what the issues are, and then the two of you can come up with possible solutions together. The FDA has suggested MRI for surveillance of all silicone gel implants, including Cohesive gel implants. This is because it is difficult to determine if there is a rupture in the new silicone gel implants because the gel sticks to itself and leaks out of the implants less than before. I hope this encourages you to investigate the possibilities further.
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July 10, 2017
Answer: That is a lot of good questions! There are many ways to correct tuberous beast deformity and nipple deformities. Most of the time, these techniques are not used to correct deformity to aid in difficulty with nursing. Having said that, if you are interested in correcting the shape of your breast and nipples because of cosmetic concerns and other reasons, improved ability to nurse your baby might be an added benefit. Overall, you would need a consultation with a Plastic Surgeon to examine you to understand exactly what the issues are, and then the two of you can come up with possible solutions together. The FDA has suggested MRI for surveillance of all silicone gel implants, including Cohesive gel implants. This is because it is difficult to determine if there is a rupture in the new silicone gel implants because the gel sticks to itself and leaks out of the implants less than before. I hope this encourages you to investigate the possibilities further.
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