Many women who have undergone breast augmentation or breast reconstruction wonder: can you breastfeed with implants? This question is crucial for new and expecting moms who want to ensure they can safely provide the benefits of breast milk to their babies. The good news is that in most cases, women with breast implants can successfully breastfeed. This blog explores how implants affect breastfeeding, safety considerations, potential challenges, and tips for maximizing breastfeeding success.

How Breast Implants Affect Breastfeeding

Breast implants are usually placed either under the breast tissue (retroglandular) or beneath the chest muscle (submuscular). Since breast milk is produced by the mammary glands and ducts located in the breast tissue not the implants themselves the presence of implants does not inherently prevent milk production or breastfeeding. Breast implants below the muscle usually affect milk production less than implants above the muscle.

That said, whether you can breastfeed successfully depends on several factors:

Surgical Technique and Incision Location

The type of incision used during implant surgery can impact breastfeeding ability. Incisions under the breast fold (inframammary) or through the armpit (transaxillary) generally leave milk ducts and nerves intact, posing less risk to milk supply.

In contrast, incisions around the areola (periareolar) may damage milk ducts or nerves essential for stimulating milk production and the breastfeeding reflex. Damage to these structures can decrease milk supply or cause challenges with milk letdown.

Pre-surgery Breast Tissue and Milk Production

Women with little natural glandular tissue before surgery may find breastfeeding more difficult regardless of implants. Implants do not convert fatty tissue into milk-producing tissue; the amount of functional breast tissue matters most for milk supply.

Is Breastfeeding Safe with Breast Implants?

A common concern is whether breast implants might harm the baby through breast milk. Current research reassuringly shows that breastfeeding with implants is safe:

• The silicone used in breast implants is highly cohesive and contained within the implant shell, making it highly unlikely to leak into breast milk.
• Studies measuring silicon levels in breast milk found no increased levels in mothers with silicone implants compared to those without.
• There is no evidence linking breast implants to increased risks of birth defects, infant illnesses, or negative developmental outcomes.
• Health authorities like the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) have not raised any specific safety concerns about breastfeeding with breast implants.

Challenges Some Moms With Breast Implants Face When Breastfeeding

Though many women successfully breastfeed after augmentation, implants can potentially affect breastfeeding in some ways:

• Reduced Milk Supply: Damage to nerves or milk ducts during surgery or pressure from implants can reduce milk production for some women.
• Altered Breast Sensation: Sensory changes from surgery can reduce the stimulation triggered by a baby’s suckling, impacting the release of prolactin and oxytocin, hormones essential to milk production and ejection.
• Engorgement Differences: Some women report feeling engorged differently, which can affect feeding cues.
• Increased Need for Supplementation: Some moms may need to supplement breastfeeding with formula or donor milk if milk supply is insufficient.

Despite these challenges, many women with implants still enjoy a fulfilling breastfeeding experience with proper support.

Tips for Breastfeeding Successfully with Implants

If you have breast implants and want to breastfeed, consider these tips to support breastfeeding success:

• Discuss Your History with Healthcare Providers: Inform your obstetrician, midwife, and lactation consultant about your breast augmentation history so they can tailor support to your needs.
• Seek Prenatal and Postnatal Lactation Support: Professional guidance can help address any breastfeeding challenges early and provide strategies for improving milk supply and latch.
• Monitor Baby’s Weight and Feeding: Regular pediatric check-ups ensure your baby is getting enough nutrition, and help identify if supplementation is needed.
• Try Different Breastfeeding Positions: Experiment to find comfortable and effective methods of feeding that work around implants and optimize milk flow.
• Be Patient and Persistent: Milk supply can increase with frequent breastfeeding or pumping, so persistence can improve outcomes even if initial supply seems low.
• Consider Supplementation if Necessary: If milk production is inadequate, supplementation with formula or donor milk can help your baby thrive while continuing breastfeeding efforts.

Emotional and Practical Considerations

Women with breast implants who wish to breastfeed may experience anxiety or uncertainty about their ability to do so. Understanding that breastfeeding with implants is generally safe and achievable can be empowering. Support from healthcare providers, family, and breastfeeding groups is invaluable.

Remember, successful breastfeeding is not measured solely by exclusive breastfeeding but by providing comfort, nutrition, and bonding with your baby in whichever combination works best for your family.

The answer to “can you breastfeed with implants” is yes for most women. While breast implants may pose some challenges in milk supply depending on surgical factors, they do not prevent successful breastfeeding in the majority of cases. Careful preparation, open communication with your health care team, and access to supportive resources are key to navigating breastfeeding successfully after breast augmentation.

If you have breast implants and are expecting, it’s a good idea to discuss your history with your obstetrician and lactation consultant early to prepare and plan for a positive breastfeeding journey. Your implants do not have to stand in the way of providing your baby with the benefits of breast milk.