Lactation Performance after Reduction Mammaplasty with or without Silicone Breast Implants

Introduction  This study evaluated the impact of reduction mammaplasty, with or without implants, on breastfeeding.

Materials and Methods  We analyzed 48 women who underwent the procedure from 2007 to 2023, divided into two groups: those who had children before surgery (n = 32) and those who became pregnant after surgery (n = 10). The surgical technique used was the superomedial pedicle approach, aiming to preserve glandular tissue and the lactiferous ducts' integrity.

Results  In the group who had children before surgery, 93% successfully breastfed. In contrast, 80% of women who became pregnant after surgery could breastfeed, among whom 50% required supplementation.

Conclusion  The results suggest that reduction mammaplasty, when well-planned and performed using techniques that preserve breast functionality, does not significantly compromise lactation. Surgeons should prioritize both aesthetics and functionality, and clearly inform patients about the potential impacts of surgery on breastfeeding.

Keywords
breast implants; breastfeeding women; lactation disorders; mammaplasty; partial breastfeeding