Navigating Breastfeeding Success After Periareolar Breast Augmentation

Every year, over 300,000 women in the United States opt for breast augmentation, making it a popular choice among those seeking to enhance their appearance. This procedure is highly rewarding for the right candidates, with many women expressing regret that they didn’t pursue it sooner. A significant number of these patients are younger women, often considering how breastfeeding might be affected by implant-based surgery.

Breast augmentation can be performed through various incision options, including:

• Areolar incision: This incision is made around the pigmented area of the nipple.
• Breast crease incision: This is located in the fold beneath the breast.
• Armpit incision: This option allows for placement without visible scarring on the breast.
• Belly button incision: Though less common, this technique avoids scarring on the breast.

While there is no wrong choice among these options, many surgeons prefer the areolar or breast crease incisions due to their proven success rates. Some incision types offer greater control and better results, depending on the surgeon’s expertise.

It’s important to note that not all women are able to breastfeed, and several conditions can contribute to this challenge. Some common reasons for low milk supply include:

• Insufficient glandular breast tissue: This can impact the ability to produce milk.
• Polycystic ovary syndrome (PCOS): This hormonal disorder can affect breastfeeding.
• Hypothyroidism: An underactive thyroid can impact milk production.
• Scar contracture: Previous surgeries may lead to complications.
• Previous breast radiation: This can affect breast tissue and milk supply.

Fortunately, these concerns affect a small percentage of new mothers. Certain medications and, in rare cases, infant metabolic or functional issues may also contribute to breastfeeding difficulties.

Regarding the periareolar breast augmentation, research indicates that this incision does not significantly increase the risk of diminished nipple sensation or breastfeeding problems post-surgery. The nerves and ducts responsible for breastfeeding enter the nipple from below, similar to tree roots. An experienced surgeon can work around these critical structures by making a careful incision along the periphery of the areola.

However, it’s essential to acknowledge that there is always some risk involved in breast surgery. Operations can inadvertently affect the milk-producing structures, leading to complications such as altered breast duct shape or scar formation. Scar tissue can develop in the weeks and months following the procedure, with a rare chance that it could obstruct milk flow. This risk is minimal and typically not a concern for most women. Additionally, if a breast reduction or lift is performed alongside augmentation, there may be a slightly increased risk of breastfeeding issues due to tissue removal.