C-Section and Breast Augumentation Together

There is a lot of planing and discussion that goes into breast augmentation. At the time of C section the breast might be twice the pre-pregnancy size. It is difficult to determine the exact dimensions of the breasts. The Breasts are engorged with milk and increased blood supply. There would be a higher chance of bleeding and infection. This is not a good idea.

Hi, it is best to wait until the physiological changes of pregnancy have reversed themselves prior to considering an elective procedure that will reshape, volumize, and change your relative proportions.  There is a higher chance that you will desire a second procedure early on to refine your results as your body changes.  You may avoid this if you wait.  Good luck!

The body undergoes many changes during pregnancy including breast enlargement due to the hormones your body creates to maintain the pregnancy. You are at increased risk for infections, asymmetry, ptosis, and bleeding if your breast augmentation is performed at the time of c-section. Likewise, a tummy tuck is not effective at the time of a c-section, because the uterus has not returned to it's normal size. You should wait until your body is fully recovered from the pregnancy before having a breast augmentation or tummy tuck. This often takes around 6 months.  

Although this may sound like a very good idea to you it is a very bad idea. There is a significant risk of contamination that could result in an infection around the implant. Then there is the issue of breast changes related to pregnancy. During and after pregnancy the breasts enlarge and engorge with milk so you cannot pick an appropriate implant size for what will be your baseline breast size in the future. The breast changes around pregnancy include stretching of the skin so some degree of breast lift may be required once your breasts reach their new baseline. Lastly the milk production machine needs to be completely turned off before you place breast implants. That takes some months after you stop breast feeding or stop producing visible milk.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Even if you don't plan to breast-feed your new baby, your breasts have changed with the hormonal effects of your pregnancy, and placing breast implants in this environment is unwise, more risky, and has a high(er) likelihood of complication, capsular contracture, malposition, and re-operation. Really!

I always advise my patients to wait at least 3 menstrual periods after  breast-feeding (or childbirth if not breast-feeding) to allow the breast tissues to return to as close to normal as possible before trying to perform an expert breast augmentation. I'd wait longer if you feel your breasts haven't returned to normal even after three periods. (And, if you don't get regular periods right away after childbirth, even more of a reason to delay.)

No experienced breast surgeon does his or her best work when trying to "hit a moving target." Let your breasts settle and stabilize before asking for this surgery. Best wishes on your new addition and your upcoming cosmetic surgery!

I would advise against combining the two procedures.  Breasts always change during and after pregnancy, whether or not you breast feed the baby, making precise surgical planning impossible.  Placing implants into engorged breasts may also increase complication rates.

Best of luck with your baby.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board-certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Many changes can occur with breast shape and size immediately after pregnancy and for that reason it is best to wait and have the procedure at a later date when all the hormonal and weight issues have completely stabilized.

I would agree with the other surgeons here; putting breast implants in at the time of C-section is just asking for trouble.

Breast augmentation at the time of C-section and delivery will raise more than a few eyebrows in the L&D department. Your OB may have even more objections than we do, however at the time of delivery there are fluid shifts, bleeding, possible bacteria temporarily in the bloodstream. That does not even begin to address the issues with attempting a place implants in a full engorging and lactating breast. No one should suggest trying to get away with this.

Best of luck,

peterejohnsonmd

Breast augmentation at the same time of delivery is a very bad idea.  A woman's body changes significantly when she is pregnant and after she delivers.  The procedure is also much more risky.  It is much safer to wait several months after you stop breast feeding, if you pursue this route.  Otherwise you should allow your body to get back to normal after your delivery.  This usually takes a while.