APUSH Live Stream REVIEW—Units 1-5

[0:00]Hello, I'm Dr. William K, board certified plastic surgeon with a special interest in breast augmentation. Many women desire breast augmentation, but are concerned about their ability to breastfeed after surgery. For many women, breast feeding is an important part of raising children. Let's discuss this concern in more detail. A woman's ability to breastfeed after breast augmentation depends on a few factors. First, the type of incision used, second, the position of the implants, and third, how the surgery affects the milk ducts and nerves in the breast. Incisions made around the nipple areola complex carry the highest risk of damaging milk ducts and nerves. An incision made under the breast, in the inframmary fold, or through the armpit, transaxillary incision, usually causes less interference with breastfeeding. However, it's worth noting that even with these incisions, there's a small chance of affecting milk production. Regarding implant placement, implants placed under the muscle, submuscular position, are generally considered to have less impact on milk ducts and nerves compared to implants placed over the muscle, subglandular position. However, some studies show no difference. The main concern is whether the surgery damages the milk ducts and nerves necessary for lactation. The milk ducts carry milk from the glands to the nipple, and nerves stimulate milk production and the letdown reflex. If these are significantly damaged, it can reduce a woman's ability to breastfeed. It's important to understand that every woman's body is different, and the outcome can vary. Some women may experience no issues at all, while others might have a reduced milk supply or difficulty with latching. Before undergoing breast augmentation, I always recommend discussing your future plans for breastfeeding with your plastic surgeon. They can help you understand the potential risks and choose the best surgical approach for your individual situation. Remember, the goal is to make an informed decision that aligns with your personal goals and family planning. If you have more questions or concerns about breast augmentation and breastfeeding, don't hesitate to consult with a qualified plastic surgeon. Thank you for watching.