Dr. Michael Salzhauer: We have a call from Cathy? Okay…

Jeannine Morrissette: Yes, Cathy, yes, from Kendall.

Dr. Michael Salzhauer: Okay, Cathy from Kendall regarding breast augmentation.

Jeannine Morrissette: Okay. It was an email actually from Cathy from Kendall.

Dr. Michael Salzhauer: Okay. Go right ahead. Do you want to read it?

Jeannine Morrissette: Yes. She says she wants to have two kids in a few years. Can I get breast augmentation before, without hurting my chances of breastfeeding?

Dr. Michael Salzhauer: Okay. That’s a good question. Most women who have breast augmentation can breastfeed and, again, that’s not to say that there’s a zero chance that you may hurt your chance– that you may interfere with breastfeeding but most women who get breast augmentation can afterwards breastfeed. Now, as far as safety goes, one might be inclined to put saline implants rather than silicone implants if you know that you’re going to have children and you know you want to breastfeed because some studies have shown that silicone particles can show up in the breast milk on women who have breast implants and are breastfeeding their children. Now, that isn’t to say that silicone particles are dangerous to the baby because there’s no proof that there are– that they are dangerous and there’s no proof that silicone is dangerous to the mother, either. But, if a patient came into my office and they told me flat out that they were interested in breastfeeding in the future, I would recommend saline implants just to avoid any remote possibility of silicone leaking into the breast milk and the possibility, however remote, that, down the road, that may be a problem. Now, a lot of women ask me, okay, you know, I’m in my early 20s. I haven’t yet met the man of my dreams. I haven’t had children yet. I haven’t breastfed. Is it okay for me to have breast implants? The answer is yes; however, you should know that, after you have children and you breastfeed, your breasts won’t look the same and probably will require another operation to lift the breasts once you’re through having children and breastfeeding and the breasts have started to sag again. Again, most women who haven’t had breast augmentation come into my office anyway after they’ve had children and breastfed because their breasts have sagged and they want them lifted and made more youthful and rejuvenated. So your– it’s actually a no worse position with or without breast augmentation. Again, the only caveat I would say is that I would probably recommend saline implants in those cases with the caveat that, after you have children and breastfeed, you’ll probably want another surgery, although you won’t– you don’t need it medically but you might want it for cosmetic reasons to lift them again.

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