Can I replace a ruptured silicone implant while breastfeeding?

Question

I am currently breastfeeding my 3 month old baby, and have had an extra capsular rupture of one of my silicone implants, causing swelling and pain. Am I able to have the implant replaced while still breastfeeding?

Kenneth Hughes, MD · Answer

When placed through an inframmary incision, the implant never really touches the breast tissue; it slides underneath it, so this approach has the least impact on the gland itself. Removing the implants and the capsules through the inframmary incision should not cause issues with breastfeeding. If you have not noticed any distortion, shrinkage, or discomfort in the breast, it may be okay to not explant. If remaining silicone material has extruded, you might want to have them removed. Silicone is relatively inert, and I would not anticipate a change in antibodies after removal.

Daniel Barrett, MD · Answer

Dear Brave944890,
it is hard to tell for sure without an examination. Generally speaking, most plastic surgeons would recommend you to stop breastfeeding prior to surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will et more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

It is best if you wait until you have finished breastfeeding before having your implants exchanged.  Based on the information provided you will need to have your capsules and implants removed which will require general anesthesia.  See a certified plastic surgeon near you for a consultation.

Connie Hiers, MD, FACS · Answer

It is best for you to completely finish breast feeding before exchanging your implant.  If you can find a surgeon who will do it now, you will need your pediatrician's approval and will need to pump and dump your breast milk for a while.

Can I replace a ruptured silicone implant while breastfeeding?

Answers (4)

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