2024-08-02 08:11:39
Having breast augmentation, the most requested cosmetic surgery in Spain in 2023, causes some women to have reservations and even believe that they cannot breastfeed, something that is far from the truth, according to doctors have advised.
Them World Health Organization (WHO) believe that breastfeeding is one of the best ways to ensure the health and survival of the child.
From August 1 to 7, WHO cooperated with UNICEF celebrate World Breast Week, this year under the theme “Closing the Gap: Support for Breastfeeding for All.”
The campaign celebrates breastfeeding mothers in all their diversity, while highlighting ways that families, communities and health professionals can support all breastfeeding mothers.
At EFEsalud, within the framework of this celebration, we address all aspects related to the breast and breastfeeding.
Does breastfeeding have any risks for the breast?
Him Dr. Nicolás Maestro Sarrión, President of the Association of Aesthetic Surgeons (AECEP)), explains that breast augmentation prostheses can be placed in front or behind the pectoral muscle, but they usually go below the mammary gland.
He said that there will be controls, special care, matching tests, but that, basically, people who get breast milk in a normal and ordinary way.
“Every activity has a risk, obviously, but these risks are independent of breastfeeding. The most that can happen in relation to breastfeeding is that some women may have issues of mastitis, but this is not related to prostheses. A person who breastfeeds can develop mastitis with and without prostheses,” said the doctor.
Him Dr (SECRE)indicates that, although breast augmentation does not prevent the breast, there may be some injury to the intercostal nerve during surgery, which may affect the sensitivity of the nipple.
In addition, the size of the prosthesis can also have an effect, since the larger the prosthesis, the more space must be made and the more area affected.
The surgeon emphasized that this sensitivity recovers over time and does not cause any problems during breastfeeding.
“When it is opened to insert the body, for example, the periareolar incision, in which the scar is made around the areola, there is a greater possibility of cutting the small milk vessels or even affecting the circulation or innervation of mammary”. explained the expert.
This procedure can affect the fourth intercostal nerve, which is the one that innervates the mammary gland and the part that is very useful for milk production.
Surgeon Nicolás Maestro Sarrión, in his opinion, points out that the incision through the areola leaves a small scar but that basically it has no consequences, nor does it cause problems in breastfeeding.
Sensitivity is important
Midwife Cristina Franco explains that a very useful issue for milk production is adequate sensitivity in the areola area and many women when they receive breast sensitivity notice a decrease in sensitivity in that area.
This loss of sensitivity can affect the production of prolactin and oxytocin, hormones important for lactation and which are stimulated by the areola and nipple.
Therefore, women who lose sensitivity have little or no fertility.
Warning signs
The midwife explained that one of the symptoms that must be observed to know if something is wrong is low milk production.
In these cases, the breastfeeding process, position and frequency with which the baby is put to the breast must be examined.
In addition, he points out that the fact that the baby is not gaining weight properly can also be a warning sign.
On the other hand, the expert pointed out that sometimes blocked roads can be seen, possibly because of a cut in some roads during the breast augmentation operation.
“These transport systems prevent milk from coming out through the holes in the nipple, which can cause milk accumulation and increase the risk of mastitis, engorgement, etc.,” said the doctor.
Specific supports
The professor pointed out that in certain cases, such as a woman who has undergone breast surgery because she has hypoplastic breasts (which are not fully developed), she will need additional support.
You may need more frequency in the number of pumps or in the number of times you breastfeed.
However, the expert pointed out that there will be many women who have breastfed and do not need special support, unlike the support of any woman who has just given birth and wants to breastfeed.
“This support includes a lot of support from those around you and from professionals, avoid all kinds of interference and follow certain recommendations to have a successful breastfeeding,” said the professor.
These recommendations aim to start breastfeeding in the first hour of the baby’s life, practice breastfeeding on demand and ensure that the breast process is correct so that stimulation during feeding is optimal for milk production.
The midwife explained that what is important is that, during the pregnancy process, if the woman is taking care of her and expresses her desire to breastfeed, if the woman has already accepted the breast, the procedure should be to examine the breast before it’s enough
“An example would be to be able to see photos before surgery to make a proper assessment. It is also important to discuss all available procedures and be aware of possible problems that may arise in the first days after birth.”
Essays
Nicolás Maestro President of the AECEP said that the main myth is that women believe that with implants they cannot conceive or breastfeed.
“I have many patients who are pregnant and many of them want not to breastfeed for fear, but we tell them that there is no problem.”
However, the doctor explained that it is clear that the breast will change due to breastfeeding and pregnancy, regardless of breast augmentation surgery.
For his part, Dr. Vila, president of the SECPRE Accept that the first myth is that you cannot breastfeed with active milk.
In addition, he pointed out that another myth is that the silicone in the prostheses will pass through the baby’s milk.
“Silicone is a material with high molecular stability, so it does not filter through the lactiferous system or reach the baby. “If it enters the intestine, it will not cause harm, because babies are already with silicone through their teeth,” said the doctor.
In this case, midwife Cristina Franco supports the testimony of the surgeon, as she points out that many mothers believe that when they have breasts it is impossible to breastfeed, or even that the simple fact of breastfeeding will affects the aesthetics of the breast.
“It is important for women to understand that pregnancy will produce a series of changes in their mammary gland. Many changes will occur, such as the size that will affect the aesthetics of the breast, which is not only associated with the breast, such as sagging or the appearance of cracks, which is a change that can appear during pregnancy, says Cristina Franco.
recommendations
In general, advice is given by the midwife of the NAME They are mainly for women to avoid those technologies that have a great risk of affecting innervation and to speak clearly with surgeons.
“In the end, the experts are the ones who know best, the procedures are progressive and each surgeon uses certain procedures. “I would recommend it to those women who want to get breast implants and those who decide to breastfeed to talk openly with their surgeon.”
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