Through all times, the breasts of women have always maintained and maintain their interest both as a secondary female sexual characteristic of great aesthetic importance or as sexual attractiveness, and in many opportunities it is the center of a woman's self-esteem. It is not surprising, therefore, that today young and not-so-young women undergo a breast augmentation or breast reduction feel better. Now, how could it affect breastfeeding the fact of having undergone a breast augmentation or reduction procedure? We will explain it to you and tell you what the procedure for each of these operations would be like!
In general, the larger the breast, or the larger the reduction or removal of skin, subcutaneous tissue and, of course, of the mammary gland, the possibilities of a reduction in milk production in the patient may also be present. . The amount of milk that should be produced is partially reduced, but even if the reduction in breast size is more than 50% or even greater, the reduction is NOT directly proportional to it.
In many studies and in my own experience, women with very small breasts without or with surgery are able to breastfeed and breastfeed babies without any decrease in the quantity and quality of both the colostrum and the milk itself. And it is that what is really important is the suction stimulus exerted by the infant and the technique used in it, since a small amount of breast can breastfeed a baby without problems.
Regarding breast augmentation with prosthesis placement and or breast lipoinjection, there is no problem with breastfeeding by virtue of the fact that the prosthesis is not located within the breast tissue but outside it, either retro glandular (between the mammary gland in front of the prosthesis and the pectoral muscle) or behind it.
In many cases, the breast tissue is not directly incised, but rather it is rejected aside and the tissues are separated without cutting them to create the necessary retro-mammary space where the prosthesis will be housed.
If the procedure is retro muscular, in many cases either the gland is rejected without cutting it or a small wound is incised only in the lower pole to allow the posterior aspect of the mammary gland to be separated from the pectoral muscle fascia and to open the muscle in the direction of the muscle fibers without cut them directly so that they do not bleed or that there is as little bleeding as possible with the use of the electrosurgical knife.
In this way, a virtual space is reached, which surgeons make real and sized according to the prosthesis, so that the prosthesis maintains direct contact with the posterior face of the mammary gland in retromamarial or prepectoral placement, depending on how desired see.
And if the placement is retropectoral, the prosthesis is separated from the mammary gland by the muscular fascia of the pectoral muscle, the pectoral muscle itself, and the retro-pectoral fascia. At present, this is the most used technique, but if for some reason a direct contact between the prosthesis and the mammary gland occurs during or after surgery, there is also no possibility that it will injure, destroy or obstruct the milk secretion. .
If for some reason the prosthesis were to break, in view of the fact that the gel that forms it is a cohesive gel, the milk ducts, which is where breast milk travels to the infant, which would be protected. What we have been able to corroborate is that, with the passage of time, the prosthesis produces atrophy of the breast tissue due to its compression and after several years with the prosthesis.
But if the patient decides the possibility of having a new pregnancy, the remaining breast tissue or the amount of mammary gland that remains, is reactivated and has the power to take its main function, which would be the production of colostrum and, consequently, of the appreciated and much needed milk secretion for the proper development and growth of your baby.
Text: Gregorio José Medina, plastic surgeon
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