Breastfeeding with a Leaking Saline Implant - Replace with Silicone?

I am currently breastfeeding my 4 month old baby. I had saline implants placed under the muscle almost 7 years ago. One implant is deflated due to a leak (I assume.)I need both implants "fixed"(the other has slipped out or under the pocket.)Do I stop BF to get both done(replace w silicone), wait another year til I'm done BF to get them done, or just replace the broken one with another (under warranty?) which is most cost effective? I am planning on having more children but waiting about 4-5y

Doctor Answers 9

Deflated leaking implant while nursing: Treatment options

I believe the health of your child comes first and nursing is important towards achieving that goal although some would say that this is most important for the frist 3 months. In my mind the leaking implant is not an issue. My advice: continue nursing unitl you feel you are done. If your one implant has deflated. When you are ready,deflate the other 2-3 weeks pior to surgery. Re-assess the shape of your breasts and I think you would do best with implant removal, submuscular placement of silicone implants and a lift.  Take this advice for what it is worth.

Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Breast feeding and elective surgery

I would recommend you wait for the implant replacement.  Most Implant company's warranty for financial help is present for the first 10 years, you have time.  The problem with replacing the implant while breast feeding primarily deals with the infant breast feeding and a recent anesthesia.  If you decide to stop breast feeding, the surgeon you consult with can do an exam and determine the timing and method for the replacement.

David M. Creech, MD
Chandler Plastic Surgeon
5.0 out of 5 stars 9 reviews

Implant Exchange timing and breast feeding

Their is no problem breast feeding with a ruptured saline implant to you or your baby. The saline is absorbed as it is just salt water. Speak with your Plastic Surgeon re: best timing for replacement with silicone implants is  when you are all finished with breast feeding, I recommend waiting until your breasts are back to baseline which takes several months following breast feeding. I would recommend waiting a minimum of 6 months and 1 year is even better.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Breastfeeding with a Leaking Saline Implant

Your child's well being is of paramount concern. Finish breast feeding, and then assess your options. You should continue your communication with your surgeon to ensure that he/she understands your timeframe and objectives.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 42 reviews

Breastfeeding and implant deflation

I recommend that after you are finished breastfeeding, you wait at least three months ad then consider your options. Then you will know what size the implants will need to be, if you need a small lift, etc. If the unbroken implant has somehow come out of the pocket, it would be wise to replace both and to speak with your plastic surgeon about whether to switch from saline to silicone gel.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Timing of Breast Revision Surgery?

Thank you for the question and pictures.

If I were you I would complete the breast-feeding process and then undergo revisionary breast augmentation surgery. This revisionary surgery may involve capsulorrhaphy (to repair the breast implant pocket  on the side where the implant has slipped out), exchange to silicone gel implants and even mastopexy (breast lifting).

The breast lifting procedure may be beneficial  because of  breast position changes  that you will notice after you have stopped breast-feeding.

Make sure you are working with a well experienced board-certified plastic surgeon.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Breastfeeding with deflated saline implant

I would suggest finishing with the breast feeding.  Then wait an appropriate amount of time and get the surgery done.  Keep in contact with your plastic surgeon and together you can come up with an appropriate plan.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Breast feeding and implants

It is your choice to decide when to stop breast feeding and when to have the revision surgery. You will have to wait at lest several months after stopping breast feeding.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast feeding and implants

The quickest and my preferred method is to stop breast feeding then (3-6 months) to have both implants replaced/pocket repaired.  However, you have to weigh how much breast feeding means to you.  If you plan to continue breast feeding, you should wait to have the operation done. I do not recommend doing one at a time as that method is the most costly and least satisfactory as far as patient satisfaction.

Delio Ortegon, MD
San Antonio Plastic Surgeon
4.1 out of 5 stars 26 reviews

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.