Breastfeeding with periareolar implant incision?

In light of this, I would recommend inframmary fold incision for your implant.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

If properly performed, a peri-areolar approach to augmentation should not affect the ability to breast feed. The NAC (nipple areolar complex) should not be undermined thus preserving ductal connections. There is potential for nerve damage during any augmentation approach. The sensation is supplied via the deep tissue and not the skin, thus a skin incision should not technically be a risk factor. However, some patients will report alterations in sensation in the periareolar region after incising this areaThe primary reason to reconsider a peri-areolar approach is the increased risk of capsular contracture relative to the IMF approach (as high as 15%).As always, discuss your concerns with a board certified plastic surgeon (ABPS).

The incision location should not affect ability to breast feed.  The nerves to the nipple come through the breast not from the surrounding skin.  In addition, if done correctly, the procedure should go around the breast/ducts, not into them.  Therefore, not affecting ability to breast feed.  I prefer not using the periareolar incision, when possible, more because of the contamination of the implant from the bacteria around the nipple/areola.

As sensation and breast ductal tissue is preserved in most techniques, the ability to breastfeed should remain intact.  Periareolar implant incision are more likely to cause problems when breastfeeding.  Placing the implant under the muscle or through the armpit reduces the risk of damage to your breast tissue and nerves.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

I believe that the lowest risk to breast feeding after augmentation is to use an inframmammary incision and an appropriately sized implant, specifically one that is not too wide. And choose a surgeon with significant experience in implant augmentation.

Hello Tina
thanks for your question.
By enlarge, As a technique periareolar incision doesnt affect breast feeding when   optimu size inplant used  .But there are limitation of periareolar incision ,  small size of implant,  increase chance of capsular contracture.
 Please  consult board certified plastic surgeon and discuss.
Best of luck .
Dr Milan Doshi

Usually there should not be problems with breastfeeding and breast surgery even with incisions around the areola. Its is true that some milk ducts, as you say, can be affected in the surgery but remember the breast has much more ducts that will stay intact even with the surgery and through these patients generally do not have breast feeding problems.

A periareola incision usually does not violate too much gland nor many if any ducts to the nipple. Most people can breast feed but it is ia had to predict under any circumstance.

Some women, who never had breast surgery, are naturally unable to breastfeed, and some variations of breast augmentation, like peri-areolar incisions, may make it  slightly more likely that you are unable to breastfeed, but most women with breast augmentations are able to successfully breastfeed. Breast implants pose no medical risk to your baby.

I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with.If you live outside of the United States, the surgeon should ideally be a member of the International Society of Aesthetic Plastic Surgery (ISAPS). 
Because of your concern, you may want to proceed with an inframammary incision.You should discuss your concerns with your surgeon in person. Robert Singer, MD FACS
 

La Jolla, California

Not a fan of the peri-areolar approach to placing a breats implant. Breast feeding difficulty aside, there is more bacteria around the areola that can contaminate the implants. In addition, if the areola is particularly small it can limit the size of the implant that can be used. I prefer a small incision in the infra-mammary fold. I only use the peri areolar approach if my patient already has a scar there from another surgeon.