This information was provided by Bec Balmforth:

For all of the ladies who wanted to know about breast feeding and breast implants, this is what Dr Pierre Blais just sent me.

Ms. Balmforth:

The contraindication for breastfeeding for individuals with a history of breast surgery with implants is based on the fact that the breast gland and the associated network of milk ducts are damaged and subject to atypical infection (chronic mastitis). Even under ideal conditions, the breast gland does not heal and self repair. Instead, fibrosis takes place and the gland convert prematurely to fibro-fatty tissue, a condition associated with post-menopausal aging.

Blood vessels and fluid conveyance channels are reduced in size and number giving rise to focal ischemia. Even if there are surviving milk-producing sites within a breast, the ability of the ducts to transport milk to the nipple is reduced, favoring formation of stagnant fluid pockets and infection-susceptible abscesses.

Sustained pressure from the implants during their dwell time destroys the milk-producing glands, a condition termed ‘pressure dystrophy’ in some circle. Implant removal does not restore functionality of the breast. Post-operative healing does not repair the glandular tissue. Instead, fibrosis further impedes fluid irrigation. For typical implant users, there is minimal capacity to produce milk after an implant dwell time of more than 48 months.

Attempts to breast feed habitually culminate in discomfort, infective episodes and inadequate milk production. Milk quality is also uncertain and the risk of transmitting microbiological contaminants to the infant is elevated. Structural damage to the surgically altered breast secondary to engorgement is an additional concern, specifically tear of ligaments or detachment of sutured muscle followed by internal bleeding with formation of hematomas, seromas and cysts.

All of the aforementioned is well known to the plastic surgery community and mainstream medical professionals but such information is rarely shared with patients. Most troubling is that many breastfeeding promotion organizations still maintain that breastfeeding is desirable and safe for individuals with a history of mammary implant usage.

In summary, the risks to mother and child far exceed any possible benefits.

The attachment contains additional information.

P. Blais

ATTACHMENT: Breast Feeding and Implants

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