Can you breastfeed with implants?

What do women talk about? Over coffee, at friendly gatherings, women enjoy chatting about breast augmentation and the price of the procedure. Nowadays, no one is surprised by breast surgery; in practically every large group of women, there is someone who has augmented their breasts with implants and those who cannot bring themselves to undergo the procedure. What holds them back? A baggage of myths, stereotypes, and prejudices.

Every year, thousands of women decide to undergo breast augmentation, yet many potential patients still hesitate due to widespread myths and biases. So, let's consider the most common fears associated with breast surgery and determine how justified they are from a medical standpoint.

One of the most common biases concerns the potential link between implants and the development of autoimmune diseases. Although social media is filled with personal stories about health deterioration after breast surgery, numerous large-scale scientific studies have found no statistically significant connection between modern implants and autoimmune diseases. Today's fifth-generation silicone implants have a high-quality outer shell that minimizes the risk of leakage and silicone migration into the body.

It is important to note that there are two main types of implants used today: silicone and saline. Both types have undergone years of clinical trials and have the necessary safety certifications. However, patients with autoimmune diseases should discuss potential risks and benefits of the procedure with their doctor.

This statement is partially true but mostly false. The ability to breastfeed depends on the surgical technique used during the operation. With submammary or axillary access (incision under the breast or in the armpit), the milk ducts and glands remain intact. With periareolar access (around the nipple), the risk of damaging the milk ducts is somewhat higher.

Modern approaches to breast surgery focus on preserving the functionality of the breast gland. A competent surgeon will try to minimize damage to the tissues responsible for lactation. Most patients who have undergone breast surgery successfully breastfeed, although some women may have a slightly reduced milk supply.

This common bias arose from a misunderstanding of manufacturers' recommendations. In reality, modern implants do not have a clearly defined "expiration date." Statistics show that about 20% of patients require implant replacement within the first 10 years, but this does not mean that all implants need to be replaced on a schedule.

The recommendation to undergo examinations every 10 years pertains to the necessity of monitoring the condition of the implants, not mandatory replacement. In the absence of complications such as capsule contracture, implant displacement, or rupture, replacement of implants is not necessary. Modern imaging methods, including ultrasound and MRI, allow for an objective assessment of the condition of the implants and informed decision-making.

Temporary changes in sensitivity are a common postoperative effect that occurs due to swelling and nerve disruption. In most cases, normal sensitivity returns within 3-6 months. Studies show that over 85% of patients fully regain sensitivity.

The risk of permanent loss of sensitivity depends on the surgical technique and individual characteristics. Periareolar access is associated with a somewhat higher risk of nerve disruption compared to submammary or axillary. An experienced surgeon knows the location of nerve endings and tries to minimize their damage.

Provided that all safety protocols are followed, the risk of serious complications during breast surgery is quite low. Statistics show that the frequency of such complications is less than 1%. The most common complications include capsule contracture (hardening of the tissue around the implant), hematomas, infections, and asymmetry.

The risk of complications is significantly reduced with the proper choice of surgeon, adherence to preoperative recommendations, and careful postoperative care. A qualified plastic surgeon should have the appropriate certification, experience, and positive patient reviews.

As we can see, most biases are based on outdated data or misinterpretation of information. Modern techniques and materials have significantly increased the safety and effectiveness of the procedure. However, like any surgical intervention, breast surgery requires a balanced approach and detailed discussion with a qualified specialist.

If you are considering breast augmentation, it is recommended to consult with several certified plastic surgeons who can help assess the individual risks and benefits of the procedure in your specific case.