Breast Enhancment & Breast Feeding
Recapping about Augmentation Mammoplasty
Augmentation mammoplasty, as you know by now is a surgical procedure that is used to insert implants in the breast regions of women. This being a procedure that actually places a foreign object inside the body, there are naturally questions raised about the risks posed by this procedure. We have discussed quite a few such risks and potential problems in earlier articles.
In this article, we will focus on problems that augmentation mammoplasty can pose to breastfeeding mothers.
Does Augmentation Mammoplasty Pose a Risk to Breastfeeding Mothers?
While you cannot exactly call it a risk, augmentation mammoplasty can cause inconvenience, discomfort, and even problems while breastfeeding. It is but a natural conclusion, as an external object in that region would automatically be expected to hinder breastfeeding. However, there is a medical side to the whole thing. It is medically proven and accepted that patients with silicone or saline solution implants are likely to face problems while breastfeeding.
Why does this happen? Basically, in a surgically enlarged breast, the nipples become temporarily or permanently insensitive to sensation. At the other extreme, they can become extremely sensitive. In such a situation, when post-delivery lactation starts, the area may become unduly engorged and the mother may feel pain and discomfort. Besides undue engorgement and pain, the person may face slightly more serious discomfort in the form of fever and chills.
Incision Types Determine Breastfeeding Problems after Augmentation Mammoplasty
It is not necessary that all mothers with breast implants will face problems during breastfeeding. Different factors influence the occurrence of discomfort in breastfeeding after augmentation mammoplasty. One of the prime factors influencing this discomfort is the type of incision made during the augmentation mammoplasty procedure.
If the incision made is of the inframmary type, i.e. under the fold of the breast; transaxillary type, i.e. made in the armpit; or the TUBA type, i.e. made in the navel, there are very slim chances of problems during breastfeeding. However, if the incision is of the areola type, i.e. a curved incision around the nipple, there are strong chances that the patient will encounter problems later while breastfeeding.
Why Areola Incisions in Augmentation Mammoplasty Cause Breastfeeding Problems
You may ask yourself as to why only the areola incision should be a problematic one, and not the other three. The reason for this is quite simple. In the areola are a set of nerves which trigger two hormones called prolactin and oxytocin. Prolactin and oxytocin are required for lactation to happen. During an augmentation mammoplasty procedure using the areola type of incision, there are chances of these nerves getting damaged. Besides, there are also chances of the milk ducts themselves getting damaged during the procedure as well. If these do not get damaged, the patient is unlikely to face breastfeeding problems. However, if these nerves as well as the milk ducts do get damaged, then the patient will definitely face problems.
The extent of the problem faced depends on the extent of the damage. If the damage is not too great, the patient may be able to nurse, but with the discomfort mentioned earlier. However, if the damage is extensive, the patient may not be able to breastfeed the baby at all.
Implant Types and Breast Feeding Problems Post Augmentation Mammoplasty
There is no evidence to suggest that the type of implant used has any significance when it comes to breastfeeding problems after augmentation mammoplasty. While saline solutions are considered totally harmless in this matter, from the point of view of implant type, some people may be slightly worried about the effect silicone may have on a breastfeeding baby.
However, such worries are unfounded apparently. If the silicone could leak into the breast milk, then there could be strong chances of danger being present. However, the silicone from a silicone gel implant cannot leak into the breast milk. This is because the silicone molecules are too big to be able squeeze their way into the milk ducts.
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