Flattening with Older Implants Post Breastfeeding - Is this concerning? (Photos)

Question

I am recently 40. My submusiclar silicone implants are almost 15 years old. I am winding down breastfeeding my third baby in 7 years, and over the past several months I have become aware of a slight flattening along the underside of my breast closest to the midline. It is more pronounced when my breasts are fuller with milk and softens after emptying. My OBGYN examined my breasts several months ago (knowing my concern) and didn’t seem alarmed. Recently I have read that misshapenness can be a sign of breast cancer, and I’m trying to determine if this sort of shape change could easily be explained by the combination of implants and lactation, or if I need to accelerate my next annual exam and have this reevaluated My plastic surgeon won’t see me until I’m done breastfeeding.

Donovan Rosas, MD · Answer

It is not uncommon to undergo changes after breastfeeding/pregnancy. That being said, it is unclear which changes will stay with you until you return to your pre-partum baseline. We typically recommend delaying any surgical revision until 6 months post op or 3 months post cessation of breastfeeding. This interval may be even greater depending on how long it takes to return to baseline.

With regards to your specific question, without an in-person exam it is impossible to say for certain if there is any reason for concern (outside of the cosmetic realm). It is encouraging that you have been evaluated and suspicion was low. If the changes are worsening, I would recommend repeat evaluation out of an abundance of caution.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Darryl J. Blinski, MD · Answer

Based on the posted photos most likely the pregnancy swellings of breast x 3 has caused your issues. But why not obtain a mammogram after you stopped breasting ? Then see your surgeon …,

Flattening with Older Implants Post Breastfeeding - Is this concerning? (Photos)

Answers (2)

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