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.