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Ask Dr. Kearney (California) In this forum, you can ask Dr. Robert Kearney of La Jolla, California, questions about breast augmentation and other plastic surgery procedures.

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Old 02-18-2009, 12:57 PM   #1
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BA after weaning?

Hey there - I've heard many different recommendations from surgeons regarding how long to wait after weaning to have a breast augmentation, ranging from 2 months to 6 months, to "whenever you're completely dry". First I wanted to ask what your recommendation is for this. Second, can you tell me what the risk is to getting a breast augmentation too soon after weaning?

I weaned in January and my breasts now seem to be completely deflated. They are actually smaller and more "squishy" than my pre-pregnancy size already! I have not been leaking whatsoever, but if I try to get milk out, I can get a few drops. I have read that it can take up to a year or more for your breasts to completely "dry up" after breastfeeding. So should I have to wait an entire year? I just don't feel like my breasts will be changing much more (if at all, since they are already as deflated as it gets) and I'm not sure I understand what harm it will do to have the breast augmentation say, in April.

Thanks in advance for your help!
5'9", 165lb
BA#1: March 20, 2009
36B to 36DD/DDD
700cc smooth HP Mentor silicone overs, crease

BL and exchange to go smaller: Date To be discussed!

BL/exchange PS: To be discussed...
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Old 02-18-2009, 04:02 PM   #2
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Hi Katrina,

My PS felt strongly that I needed to wait at least 3 months (many others will say 4-6 months) after weaning for BA. She indicated that the risk involved perhaps infection if the milk ducts were still producing milk. I went with a inframmary incision, which wasn't an issue for me.

What I found was a 3-6 month window after weaning. I was exactly 16 weeks/4 months at the time of my BA. In between I just wore silicone inserts in an effort to not go from looking completely flat to having boobs!

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Old 02-19-2009, 07:12 PM   #3
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There is not absolute answer to this. Once your breasts are clinically delfated and you will know that better than anyone then you can do your surgery. I don't believe there is a downside unless you are getting a lift in which case you should wait until the skin has fully retracted. Again you will be the best judge of that.

Dr. Kearney
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Old 04-02-2009, 11:01 PM   #4
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i Just wanted to say that i had stopped breastfeeding 4 weeks prior and on the day of my BA i was still lactating and EXACTLY the same size as I was when I went in for my consult when I was still nursing 2-3 times a day still.
I had my surgery while i was STILL lactating and I am as of now 5 weeks post op and STILL lactating now even though my daughter is not nursing.
I have been lactating now since 1999, I started lactating when I was 4 mos pregnant with my first child. I have nursed each child for 14 mos, 16 mos, 2.5 yrs, and 3.5 yrs.... back to back, even during pregnancies and tandem nursing for more than one child at one time!!!
Some woman can lactate for many weeks.. months or even YEARS after they wean.
I know that if I would have waited to 'dry up" i STILL wouldnt have my BA. Many PS told me to be completely DRY for at LEAST 3-6 mos.
I may have had to wait YEARS for my BA because I am just one of those ladies that is like a dairy! ( if you read my sig, I emphasis this fact!)

MY PS was pretty ignorant anbout the properties in breast milk and lactation in general and It bothers me when people, especially doctors dole out advice or state half truths on a subject that they know so little about.
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