For women considering a
cosmetic procedure such as a breast augmentation or abdominoplasty (tummy
tuck), the effects of any future pregnancy are often a concern.
Will it interfere with the ability
to become pregnant, carry a child or breastfeed? Will a pregnancy after
cosmetic surgery undo the surgeon’s work or lead to unwanted aesthetic results?
To help you decide whether
now is the right time for your cosmetic procedure, or whether you’d be best to
wait until after completing your family, we list the key points to consider:
Pregnancy After Breast Enlargement
Many women in their 20s wish
to have breast implants, often before they’ve met a long term partner or thought
about starting a family. Although it may seem a little way off, you’ll probably
still want to know what happens when/if you do become pregnant.
The good news is that a breast enlargement, if carefully carried out, should not affect your ability to
breastfeed. It is important to discuss with your surgeon your plans for
breastfeeding in the future, so he or she can advise on the implantation method
that will have the least impact on the milk ducts – this will influence the
incision site and the placement of the implants on the chest (under or above
the muscle).
Because nipple sensitivity
can take 6-18 months to return after a breast enlargement, it is advisable to
wait a year or two after surgery before becoming pregnant. This will also
enable scars and scar tissue time to fully heal.
Another concern is the
affect pregnancy will have on the appearance of the breast implants, and this
is something that varies widely from woman to woman.
During pregnancy the breast
becomes engorged with milk, which often stretches the skin. When a woman’s milk
dries up (whether she chooses to breastfeed or not) the gland shrinks and
sometimes breasts will have less volume than they did pre-pregnancy.
This decrease in volume,
combined with slacker skin can result in sagging for some women. While the
breast implant stays in position, the breast may sag down off of the implant. If
this happens, further surgery will be needed to correct the issue.
However, many women
experience no marked change to the appearance of their breast implants after
pregnancy and some even report to being happier with the appearance, since the
stretching of the tissue can leave them looking more natural.
Pregnancy After Breast Reduction
Pregnancy can change your
breasts in completely unpredictable ways – regardless of whether you breastfeed
or not. It is not possible to say with certainty what would happen to the
results of a breast reduction post-pregnancy.
There is a chance breasts
will be increased in size after pregnancy and also experience some sagging.
However, changes can be minimised by controlling weight gain during pregnancy
(following the advice of your doctor) and by always wearing a supportive bra.
If you are planning on
becoming pregnant in the imminent future, it is certainly advisable to wait
before having breast reduction surgery to prevent the possibility of having to
undergo a revision.
If you do decide to go
ahead, let your surgeon know you may wish to breastfeed so he or she can tailor
the surgery to increase your chances of being able to do so.
Pregnancy After Breast Uplift
Pregnancy causes the breasts
to temporarily swell – the extent to which your breasts increase in size and
the speed at which they do so will affect the laxity of your skin once milk
production has ceased and the breasts deflate.
In all likelihood your
breasts will experience some changes and sagging is a risk. These issues can be
corrected with a second breast lift
(sometimes combined with implants), but if you are planning on becoming
pregnant within a couple of years, it’s probably best to wait.
Most breast lift techniques
preserve the ducts and glands meaning breastfeeding should still be possible,
but always advise your surgeon of your plans.
Pregnancy After Tummy Tuck
Patients considering a tummy tuck
often wish to know if it will impair their ability to become pregnant, carry a
baby or give birth in the future. The answer to all of these questions is no,
there is no danger to the baby and you will have a normal pregnancy. However, it
is advisable to wait until you are fully healed; around 4-6 months after.
In terms of the aesthetic
effects, pregnancy will stretch out the skin and muscle of your abdomen and you
may experience some recurrent laxity.
Some women who have had
tummy tucks are perfectly happy with their appearance post-pregnancy. If you
are not, corrective surgery can be performed, which may well be shorter and
less complex than your original operation.
Your decision to have a
tummy tuck should be based on how soon you expect to become pregnant. If it won’t
be for another 5+ years, then enjoying the aesthetic improvement now may well
be worth it. On the other hand, if it’s likely to be in the next couple of
years it makes sense to wait.
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