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Ask Dr. Pelletiere (Illinois) In this forum, you can ask Chicago, Illinois plastic surgeon, Dr. Christopher Pelletiere, questions about breast augmentation and other plastic surgery procedures.

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Old 11-10-2009, 03:00 PM   #1
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areola incision & breast feeding

how common is it for women to not be able to breast feed after getting a breast augmentation with the areola incision?
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*Height: 5'6ish
*Weight: 135lbs
*Pre breast augmentation: mid B cup
*Post breast augmentation: 34D
*400 cc's, mods, partials through crease incision
*breast augmentation took place on 12/16/09 ;D

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Old 11-10-2009, 03:50 PM   #2
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Pretty rare They really dont go any where near your milk ducts.

You can google this and obtain great information. I know plenty of women with this incision that breastfed no problem.

Good Luck!
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Old 11-10-2009, 03:57 PM   #3
 
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i dont know b/c i havent had any kids yet...but i know w/ my 1st breast augmentation (10yrs ago) my PS told me that if I wanted to BF, I should go w/ the crease incision....then this time around (different PS) told me that it didnt make a difference, that you have the same chance to either BF or not w/ either incision...So, I really have no idea. Now, I have the ugly crease incison..and I HOPE i can still BF!!
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Old 11-10-2009, 05:49 PM   #4
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Unfortunately, the data is really unreliable for the breast feeding issue. Being able to breast feed can vary with each pregnancy, regardless of whether you have had surgery or not. You can have a women who never has surgery, has three kids, and can only breast feed two out of the three for whatever reason. Throw in surgery, and it really becomes cloudy. Out of all the women who have any sort of breast surgery ( augmentations, reductions, lifts), only half will even try to breast feed. Out of those, only about 40% can. Again, does this have to do with the surgery or just their body? No one knows. With regards to the periareolar incision, it is a theoritic risk that you could disrupt the milk ducts in some way. It all depends on the way the surgery is done - some surgeons go right down through tissue to get to the correct position while others go right underneath the skin until they get to the inframammary fold, then get under the breast tissue. It also depends on how much trauma goes into the surgery ( stretching, etc.). Generally, I tell women that if they want to give themselves the absolute best change at breastfeeding, then the inframammary is less traumatic to the nipple area, and therefore theoretically safer. Again, all the data available is retrospective and pretty random.
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The above messages are not intended to substitute for direct medical advice or patient care. Proper medical/patient care can only come with direct patient interaction and a full examination. If you cannot accept this policy, please ignore my messages. Dr. Pelletiere specializes in aesthetic and reconstructive surgery in and around Chicago.

Christopher V. Pelletiere, MD
1602 Colonial Parkway
Inverness, Illinois 60067
847.358.9444
office@pelletieresurgery.com

www.pelletieresurgery.com

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