Implant removal while breastfeeding?

Question

I have 19 year old implants, that I would like to have removed asap because they are just super cumbersome at this stage of my life. I am 3 months postpartum and breastfeeding. I wouldn't need a capsulectomy. I have a few questions 1)Is it possible/comfortable to get them removed with local anesthesia?Or is it best to wait another 9 months when I finish breastfeeding and get them taken out with regular anesthesia? 2) Will removal cause any extra numbness or other breastfeeding difficulties?

Igor Burko, MD · Answer

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in New York City. The process of implant removal depends on the individual plastic surgeon who is performing the procedure. Typically, it is done in an operating room under sterile conditions with anesthesia. Some plastic surgeons may be offer the ability to remove an implant using just local anesthesia. If your original incision is in the inframammary fold (under the breast), then removing the implants through this incision should not affect your ability to breastfeed. My recommendation is to see a trained plastic surgeon who can discuss your options and give you their best and safest surgical recommendations.

Alan Gonzalez, MD, FACS · Answer

Hello @m.dindi, thank you for your question.  It is possible to have implant removal six months after you finish breast feeding the reason to wait is so that your breasts have time and space in order complete the changes in your breast after giving birth related to breastfeeding.  I believe that every time an explant is performed, the capsule must be removed. Complete capsulectomy to avoid future autoinflammatory process.  If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),   International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Randal Haworth, MD, FACS · Answer

The choice between local anesthesia or general anesthesia for breast implant removal is typically influenced by your comfort level and the recommendation of your surgeon. Local anesthesia might be an option for some individuals, but it's important to discuss your specific situation and preferences with a board-certified plastic surgeon.

Breast implant removal, especially without a capsulectomy, might not significantly affect breastfeeding. However, any surgical procedure can carry potential risks and impacts.

I hope this helps,
best of luck !

Shaher W. Khan, MD · Answer

Hello, thank you for your question. In my professional opinion, it is not advised to perform implant removal under local anesthesia. This is a relatively invasive procedure that should be completed with IV general sedation. I advise to finish nursing before you have removal of implant, capsule, and all inflamed tissue to ensure you can have the best optimal outcome for healing. Surgery can be done while nursing, but will pose an inconvenience for the mom.

Daniel Barrett, MD · Answer

Dear m.dindi,
it is hard to tell for sure without an examination. Generally speaking, it is possible to remove implant under local anesthesia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

It is best for you to wait until you have finished breastfeeding for six months to have your implants removed.  At that time you can decide if a lift is desired.  Removal of implants under local anesthesia can be done, but an evaluation is needed to determine if a person is a good candidate for this approach.  Any surgery to the breasts can cause changes in sensation or issues with future breastfeeding, but the risk varies based on the patient and extent of procedures performed.

Connie Hiers, MD, FACS · Answer

It is best to remove the implants and do whatever lifting is needed 6 months after you have finished breast feeding. Technically, the implants can be removed under local anesthesia if not ruptured and you can pump and dump your milk while drains are being used.  It is much easier and you will heal better if you wait.

Implant removal while breastfeeding?

Answers (7)

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