Breast lift before children? I am wondering if having children and breast feeding would ruin the results?

Question

Hi I'm scheduling a lollipop lift for September with an augmentation scheduled 6 weeks after. I'm not even sure if I want to have children but this is still a question on my mind.

Leila Kasrai, MD, FRCSC · Answer

Breast feeding won’t negatively impact your results, however the whole experience of pregnancy most likely will. Many women find that their breasts change in shape and/or size after having children. The breasts may become larger or smaller, and saggier. For this reason, I typically recommend women get a breast lift when they’re no longer planning to have children. However, if you don’t know if you’re planning to have kids and understand the effects pregnancy will have on your results, then you can consider having the surgery now.

Urmen Desai, MD, MPH, FACS · Answer

Great question!  I think that if you are planing on having child in the next year, then wait.  However, if you don't think that this will happen anytime soon, then go ahead.  I already recommend a one-stage surgery, with an 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) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified Beverly Hills Plastic Surgeon

Harry T. Haramis, MD, FACS · Answer

I usually recommend to wait if pregnancy is planned soon as this may change your breasts. This should be discussed with your plastic surgeon preop.

Gary M. Horndeski, MD · Answer

Thank you for you question,       The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. Best wishes and kind regards, Dr. Gary Horndeski

Dana Khuthaila, MD, FRCSC, FACS · Answer

Thank you for the question. A very important characteristic of breasts is they do change over time as a result of weight changes or hormonal changes or both during pregnancy and lactation. That said the Lollipop or vertical lifts do however have long lasting results. I usually perform the lift with the augmentation at the same time for optimal results without the need for two separate procedures. Please discuss this in detail with your surgeon and check the before and after photos. Best of luck!Dr. Khuthaila

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  This can be a complicated decision for patients in your position.   A breast lift with an implant can result in a very
nice shape if good technique is used.  I almost always perform a lift with an implant at the same time, without need for a two stage procedure.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mathew A. Plant, MD, FRCSC · Answer

Results of any breast surgery will change with time, pregnancy, breastfeeding, menopause and gravity. How much each of these will affect any given patient is unpredictable, but there will be some change overtime. It's best to discuss your concerns with your surgeon who knows you better and can give an answer that is more specific to you. Best of luck!

Amy Simon, MD, FACS · Answer

Thank you for your question regarding
having children and breastfeeding after your breast lift.  Whether you
decide to have breast surgery or not, pregnancy and breastfeeding does tend to
change the results and the degree of this will vary from person to
person.  Hope this information is helpful.  Best of luck!

Reza Momeni, MD, FACS · Answer

Studies have shown that we cannot predict the effect of breast feeding / child breeding on breasts with accuracy.  Some women get larger, some get smaller, some droop, some don't.  Best bet is to look around in your family and see if there are any patterns.

Kevin Bounds, MD · Answer

Breasts continue to change in your lifetime. It is unpredictable how much breast feeding will affect your breasts. Weight gain and loss, number of pregnancies, age and skin quality all influence the appearance of your breasts.  I would feel comfortable moving forward if you can accept the inevitable changes in your breasts that will naturally occur in your lifetime.

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