Breast Augmentation while there's still milk in my breast?

Question

I have had everything tested but i still have milk in my breast for over 15 years. I am wanting breast augmentation done , is it possible with milk in them .? I have had every test done an they dont know why I have milk. ]

Chad K. Wheeler, MD · Answer

This is a very rare circumstance.  Typically women are only months out from stopping breast feeding an still producing milk.  In those cases you should wait for a breast augmentation.  If you have seen an endocrinologist and they have approved it then you can proceed.  Although I would recommend against any incision around the nipple.

Shlomo Widder, MD · Answer

Dear Wisdom,    I hope that you live up to your name. Do not do breast augmentation surgery while your breasts still produce milk, because you can have a milk producing fistula through the incision which can be a real problem. Consult with an endocrinologist who can stop the milk temporarily with medication untill the wounds heal completely. Once the wounds healed,  you can stop the medication and continue with your life as before. Always, consult with board certified plastic surgeons and check their before and after pictures to make sure that you like their results and that the pictures are numerous and consistant.                Best of luck,                                     Dr Widder

Ryan Neinstein, MD, FRCSC · Answer

A lot of women have sporadic nipple discharge, as long as the breast surgeon says its benign it is ok to have breast augmentation

Richard H. Fryer, MD · Answer

This really depends on the extent of lactation or milk expression that you currently have.  if it is a substantial amount then breast augmentation shoiuld be deferred until this can be controlled or stopped.  Endocrinologists can prescribe medications that often help cease milk production if an abnormality can be found.  If it is only a minimal amount of milk then I think that breast augmentation can be performed without a significant problem.

Asif Pirani, MD, FRCS(C) · Answer

I am not sure if I understand.  Do you still express milk through your nipple?  This is quite unusual.  The worry would be that you could get a collection of milk that would require a re-operation.  A Galactocele would be a serious concern.  You need to be fully worked up.  Have you seen an endocrinologist?  Have you had a work-up to rule out central causes?  You need to see a local plastic surgeon.Best,

Timothy A. Janiga, MD, FACS · Answer

Your situation is uncommon.  I would make sure that you had evaluation by an endocrinologist and had routine breast imaging such as your mammogram.  If you have truly had a complete work-up and are given clearance by your other physician's I would make sure that the plastic surgeon who performs the breast augmentation avoid making a incision around your nipple to avoid the breast ducts that can contain the milk.  Take Care.

Arun Rao, MD · Answer

Wisdom27-I would hold off on having a breast augmentation while you are lactating. The risk of increased complications is not worth it. I would recommend you see an endocrinologist or get a second opinion from another endocrinologist on why you continue to produce milk. Good luck

Jaime Campos Leon, MD · Answer

I would suggest for you to wait until you have clearance from your endocrinologist, this is not a normal thing to happen after so much time after, the normal time varies but it's in months and not years.Dr. Campos

Terrence Murphy, MD · Answer

I see a number of patients who can express a small amount of fluid from their nipple. i.e. just a drop or 2 and I don't think that is an issue with surgery. I put a plastic patch over the nipple and avoid the aerolar  incision in these patients. Consult with a boad certified surgeon about this issue.

Robert L. Kraft, MD, FACS · Answer

I would want a full endocrinologist's work up and clearance before elective breast augmentation.  There should always be a medical explanation for lactating 15 years after giving birth.

Breast Augmentation while there's still milk in my breast?

Answers (11)

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