Last update Dec. 2, 2022

Augmentation Mammoplasty

Low Risk

Possibly safe. Probably compatible. Mild risk possible. Follow up recommended. Read the Comment.

Although in some published series no breastfeeding problems have been found (Jewell 2019), after breast augmentation surgery with silicone or saline implants there is an increased risk of insufficient breastfeeding (Marcacine 2018), so the incidence of exclusive breastfeeding is lower (Cheng 2018, Schiff 2014, Andrade 2010, Zuckerman 2010), which implies having competent support for breastfeeding mothers with breast implants. (Roberts 2015)

The factors involved are multiple:

  1. Type of surgery. There may be a decrease in milk production due to loss of sensitivity and erectile capacity of the areola-nipple and interruption of neuro- endocrine reflex due to cutting of the lateral and medial branches of the 4th intercostal nerve in the implant by inframammary route or by cutting of the milk ducts and nerve endings of the areola-nipple complex in the implant by periareolar route. Breastfeeding is little or not affected with transaxillary and transumbilical implants.
  2. Breast pain from implant pressure or capsular contracture. There is a greater risk of pain and insufficient breastfeeding with retro- glandular implants than with retro-muscular implants and with larger implants. (Bompy 2019, Marcacine 2018)
  3. Possible higher incidence of true breast hypoplasia among women with breast implants.

Rare complications are galactorrhea, which is usually transient and treatable, galactoceles, rotation of the prosthesis, seroma, and excessive postpartum inflammation. (Zolotykh 2019, Basile 2015, Irkoren 2013, Meggiorini 2013, Yang 2012, Ayestaray 2012, Tung 2011, Chun 2009)

Most breast implants contain silicone, which is a polymer of silicon-oxygen-methyl atoms of high molecular weight, which makes it practically impossible for the infant to pass into milk in significant quantities as well as subsequent intestinal absorption. This makes them safe for breastfeeding even in case of breakage or manufacturing defects (Poly Implant Prothèse, PIP). After exhaustive analysis of the silicone of these prostheses, a lack of risk to health was demonstrated. (SCENIHR 2013)

The blood and milk silicone levels of women with implants, 55 ng/ml, are similar to those of women without implants, 51 ng/ml, 13 times lower than those found in cows’ milk, 709 ng/ml, and 80 times lower than those of commercial infant formulas, 4403 ng/ml. (Semple 2007 and 1998)

There is no evidence of toxic effects on the infant secondary to the mother wearing a breast, saline or silicone implant. (Preevid 2010)

Polyacrylamide hydrogel injections that have been used to increase breast volume in some countries are inadvisable because they present too many complications in and out of breastfeeding. (Bourke 2018, Wang 2012, Kang 2011, Cheng 2011).


See below the information of this related product:

  • Silicone ( Safe. Compatible. Minimal risk for breastfeeding and infant.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

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Group

Augmentation Mammoplasty belongs to this group or family:

References

  1. Zolotykh VG, Kim AY, Shoenfeld Y, Churilov LP. Galactorrhea Following Silicone Breast Implant Placement Isr Med Assoc J. 2019 Aug;21(8):523. No abstract available. Abstract
  2. Bompy L, Gerenton B, Cristofari S, Stivala A, Moris V, See LA, Rizzi P, Braye F, Meningaud JP, Zwetyenga N, Guillier D. Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study. Ann Plast Surg. 2019 Jan;82(1):11-14. Abstract
  3. Jewell ML, Edwards MC, Murphy DK, Schumacher A. Lactation Outcomes in More Than 3500 Women Following Primary Augmentation: 5-Year Data From the Breast Implant Follow-Up Study. Aesthet Surg J. 2019 Jul 12;39(8):875-883. Abstract
  4. Woo J, Park BY. Silicone in breastmilk from a breast implant: The hottest issue in Korea. Breast J. 2019 Jan;25(1):151-152. Abstract
  5. Cheng F, Dai S, Wang C, Zeng S, Chen J, Cen Y. Do Breast Implants Influence Breastfeeding? A Meta-Analysis of Comparative Studies. J Hum Lact. 2018 Aug;34(3):424-432. Abstract
  6. Marcacine KO, Abuchaim ESV, Coca KP, Abrão ACFV. Factors associated to breast implants and breastfeeding. Rev Esc Enferm USP. 2018 Oct 11;52:e03363. Abstract
  7. Bourke AG, Jose C. Recurrent complications of PAAG implants during lactation. BMJ Case Rep. 2018 Nov 5;2018. pii: bcr-2017-219688. Abstract
  8. Basile FV, Basile AR. Diagnosis and management of galactorrhea after breast augmentation. Plast Reconstr Surg. 2015 May;135(5):1349-56. Abstract
  9. Roberts CL, Ampt AJ, Algert CS, Sywak MS, Chen JS. Reduced breast milk feeding subsequent to cosmetic breast augmentation surgery. Med J Aust. 2015 Apr 6;202(6):324-8. Abstract
  10. Schiff M, Algert CS, Ampt A, Sywak MS, Roberts CL. The impact of cosmetic breast implants on breastfeeding: a systematic review and meta-analysis. Int Breastfeed J. 2014 Abstract Full text (link to original source) Full text (in our servers)
  11. Irkoren S, Sivrioglu N. Can excessive breastfeeding be the cause for the upside-down rotation of a breast implant? A case report. Breastfeed Med. 2013 Abstract
  12. Lawrence RM. Circumstances when breastfeeding is contraindicated. Pediatr Clin North Am. 2013 Feb;60(1):295-318. Abstract
  13. Meggiorini ML, Maruccia M, Carella S, Sanese G, De Felice C, Onesti MG. Late massive breast implant seroma in postpartum. Aesthetic Plast Surg. 2013 Abstract
  14. Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR). Preliminary Opinion on the safety of Poly Implant Prothèse (PIP) Silicone Breast Implants (2013 update). 2013 Full text (link to original source) Full text (in our servers)
  15. Wang ZX, Luo DL, Dai X, Yu P, Tao L, Li SR. Polyacrylamide hydrogel injection for augmentation mammaplasty: loss of ability for breastfeeding. Ann Plast Surg. 2012 Abstract
  16. Yang EJ, Lee KT, Pyon JK, Bang SI. Treatment algorithm of galactorrhea after augmentation mammoplasty. Ann Plast Surg. 2012 Abstract
  17. Ayestaray B, Dudrap E, Chaibi A. Galactorrhea after aesthetic breast augmentation with silicone implants: report of two cases and management of postoperative galactorrhea. Aesthetic Plast Surg. 2011 Abstract
  18. Kang GC, Ong YS. Large unilateral breast autoinflation after breastfeeding linked to polyacrylamide hydrogel injection augmentation mammaplasty. Aesthetic Plast Surg. 2011 Abstract
  19. Cheng NX, Zhang YL, Luo SK, Zhang XM, Hui L, Chen YL, Sheng SY, Wu DH, Wang HB, Li P. Late hematoma, seroma, and galactocele in breasts injected with polyacrylamide gel. Aesthetic Plast Surg. 2011 Abstract
  20. Madeira EB, de França JC, de Sousa Almeida Filho B, Araújo AL, Vieira SC. Normal Breastfeeding after Breast Reconstruction in a Patient with Poland's Syndrome. Breast Care (Basel). 2011 Abstract Full text (link to original source) Full text (in our servers)
  21. Tung A, Carr N. Postaugmentation galactocele: a case report and review of literature. Ann Plast Surg. 2011 Abstract
  22. Andrade RA, Coca KP, Abrão AC. Padrão de aleitamento materno no primeiro mês de vida em mulheres submetidas a cirurgia de redução de mamas e implantes. [Breastfeeding pattern in the first month of life in women submitted to breast reduction and augmentation]. J Pediatr (Rio J). 2010 Abstract Full text (link to original source) Full text (in our servers)
  23. Zuckerman DM. Reasonably safe? Breast implants and informed consent. Reprod Health Matters. 2010 Abstract Full text (link to original source) Full text (in our servers)
  24. Preevid. Murciasalud. ¿Qué problemas pueden ocurrir en la lactancia materna en mujeres intervenidas de mamoplastia de aumento? Banco de Preguntas Preevid. 2010 Full text (link to original source) Full text (in our servers)
  25. Chun YS, Taghinia A. Hyperprolactinemia and galactocele formation after augmentation mammoplasty. Ann Plast Surg. 2009 Abstract
  26. Hedén P, Bronz G, Elberg JJ, Deraemaecker R, Murphy DK, Slicton A, Brenner RJ, Svarvar C, van Tetering J, van der Weij LP. Long-term safety and effectiveness of style 410 highly cohesive silicone breast implants. Aesthetic Plast Surg. 2009 Abstract
  27. Marino A, Patel T, Whitten E, Peiris AN. Persistent hyperprolactinemia following mammoplasty: a rare association. Tenn Med. 2009 Abstract
  28. Kjøller K, Friis S, Lipworth L, McLaughlin JK, Olsen JH. Adverse health outcomes in offspring of mothers with cosmetic breast implants: a review. Plast Reconstr Surg. 2007 Abstract
  29. Semple JL. Breast-feeding and silicone implants. Plast Reconstr Surg. 2007 Abstract
  30. Michalopoulos K. The effects of breast augmentation surgery on future ability to lactate. Breast J. 2007 Abstract
  31. Lin J, Qian YL, Yang Q, Zhang YX, Yang C, Zhang B, Zhu C. [Clinical analysis of complications of polyacrylamide hydrogel injection for augmentation mammoplasty in 118 cases]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Abstract
  32. Yue Y, Luan J, Qiao Q, Mu LH, Fan F, You JJ, Wang S. [Retrospective analysis of complications of breast augmentation with injected polyacrylamide hydrophilic gel in 90 cases]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Abstract
  33. Acartürk S, Gencel E, Tuncer I. An uncommon complication of secondary augmentation mammoplasty: bilaterally massive engorgement of breasts after pregnancy attributable to postinfection and blockage of mammary ducts. Aesthetic Plast Surg. 2005 Abstract
  34. Inguenault C, Capon-Degardin N, Martinot-Duquennoy V, Pellerin P. [Galactorrhea after mammary plastic surgery]. Ann Chir Plast Esthet. 2005 Abstract
  35. Hill PD, Wilhelm PA, Aldag JC, Chatterton RT Jr. Breast augmentation & lactation outcome: a case report. MCN Am J Matern Child Nurs. 2004 Abstract
  36. Hurst N. Breastfeeding after breast augmentation. J Hum Lact. 2003 Abstract
  37. Johansson AS, Wennborg H, Blomqvist L, Isacson D, Kylberg E. Breastfeeding after reduction mammaplasty and augmentation mammaplasty. Epidemiology. 2003 Abstract
  38. Zimpelmann A, Kaufmann M. [Breastfeeding nursing after breast surgery]. Zentralbl Gynakol. 2002 Abstract
  39. Signorello LB, Fryzek JP, Blot WJ, McLaughlin JK, Nyrén O. Offspring health risk after cosmetic breast implantation in Sweden. Ann Plast Surg. 2001 Abstract
  40. Janowsky EC, Kupper LL, Hulka BS. Meta-analyses of the relation between silicone breast implants and the risk of connective-tissue diseases. N Engl J Med. 2000 Abstract Full text (link to original source) Full text (in our servers)
  41. Semple JL, Lugowski SJ, Baines CJ, Smith DC, McHugh A. Breast milk contamination and silicone implants: preliminary results using silicon as a proxy measurement for silicone. Plast Reconstr Surg. 1998 Abstract
  42. Hurst NM. Lactation after augmentation mammoplasty. Obstet Gynecol. 1996 Abstract
  43. Caputy GG, Flowers RS. Copious lactation following augmentation mammaplasty: an uncommon but not rare condition. Aesthetic Plast Surg. 1994 Abstract
  44. Rothkopf DM, Rosen HM. Lactation as a complication of aesthetic breast surgery successfully treated with bromocriptine. Br J Plast Surg. 1990 Abstract
  45. Ruíz-Velasco V. Hyperprolactinemia and mammary prostheses. A report of eight cases. J Reprod Med. 1986 Abstract
  46. Soules MR, Hansen LW, Tucker KR, Buehler PK. Prolactin secretion in women after plastic breast augmentation and reduction. Ann Plast Surg. 1986 Abstract
  47. El-Hassan ND, Zaworski RE, Castro A, LeMaire WJ. Serum prolactin levels following augmentation mammaplasty. Plast Reconstr Surg. 1981 Abstract

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