Breast augmentation after breastfeeding?

Question

I am scheduled for a breast augmentation soon. At that time I will be 4 months from last breastfeeding session. My breast are definitely deflated and I can tell they are back to previous form. More saggy though. My main concern is knowing for sure I am not producing any milk. By the feel and look of my breasts, I am not. But I can still squeeze a very very small amount out. Like a drop. Only if I squeeze. Opinions on proceeding? Just worried about infection. Breast are back to normal by the eye.

Ali Riza Öreroglu, MD · Answer

After breastfeeding, I usually advise my patients to wait for at least 6 months, both for the sake of breast tissue and stabilization of hormone levels. If we do not wait for 6 months there may be a risk of infection.

Daniel Barrett, MD · Answer

Dear Mgirl202,
the ideal timing for breast augmentation when you are breastfeeding is about six months after you have completely stopped breastfeeding. You can speak and visit a board-certified plastic surgeon to further discuss your preferences and the options that are available for you, especially if you are looking forward to having another child.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Hello and thank you for your question.  Each surgeon is different with there post breastfeeding surgery time.  I personally like to hold off until my patients are 6 mo post feeding.  Reason being is the breast should be returned to complete pre pregnancy and milk ducts empty so we can choose a proper size and not be mislead with changes.  Infection should not be a worry or concern and I am sure you will be placed on an antibiotic post surgery anyhow to prevent infection.  Best of luck and congrats on the new addition.

Derek Fletcher, MD · Answer

Personally, I recommend women wait a minimum of 6 months and/or until all milk production has stopped.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I advise my patients to wait approximately 6 months. If milk production persists, I have my patients check with their GYN doctor to see if that is normal, prior to doing any surgery. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Connie Hiers, MD, FACS · Answer

Some women will make milk up to 6 months, and some may never dry up until menopause. I recommended waiting for 6 months after breast feeding to let your breasts completely settle down.

Camille Cash, MD · Answer

For breast surgery it is best to wait three to six months after cessation of breastfeeding.  You are right in the middle of that time frame.  I encourage you to speak with your surgeon about your concerns.  If you are worried you can consider postponing the surgery a couple more months.

Mats Hagstrom, MD (license on probation) · Answer

Most plastic surgeons typically ask patients to wait six months, but there are no set exact time frames for when it’s appropriate to do breast surgery after breast-feeding.
A lot of women will have nipple secretions even without pregnancy, so I wouldn’t worry if you have tiny bit of fluid that you can squeeze out. Discuss with your provider and get guidance from him or her.
Best,
Mats hagstrom, MD

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