Pregnancy can affect the breast’s appearance to some degree, hence some women choose to postpone their breast implant surgery until they are done having children. However, others prefer to have augmentation regardless of their plan to have a family in the future.
When it comes to the issue of breast augmentation before or after children, it is difficult to determine the most ideal timing without looking into the variables such as motives and expectations of patients, their emotional and physical preparedness, maturity, lifestyle, and even their career and other responsibility—i.e., whether they can afford one to two weeks of downtime.
Even without pregnancy, several factors can change the shape, projection, and overall appearance of the breast. Examples include natural effects of aging, sun exposure, poor lifestyle, and weight fluctuations. However, ptosis or sagging is the main issue that is difficult, if not impossible, to predict.
Some patients have significant changes in their breast size and appearance a few years after surgery due to pregnancy or aging, while others have minimal or almost none.
Dr. Tarick Smaili, a celebrity surgeon in Riverside plastic surgery, says women of childbearing age who are physically fit and emotionally mature to understand the ramifications of implants may opt to undergo breast augmentation before having children, although they may wish to postpone any body contouring surgery if they are planning to get pregnant in the nearest future (within a year).
If a woman elects to have breast implants and becomes pregnant subsequently, one way to minimize the impact of breast involution is to make sure weight gain is within the normal range, as suggested by Dr. Smaili.
The same “advice” applies to women with unoperated breasts since significant weight fluctuation is strongly linked to higher risk of sagging and upper breast pole deflation, he further explains.
Dr. Smaili allays the common concern of patients with augmented breasts who might avoid breastfeeding over fear that their implants might contaminate their milk supply, citing studies which have found that there is no difference in the quality of milk between “operated” and “unoperated” breasts.
One study has even suggested that the amount of silicone is considerably higher in cow and formula milk than milk produced by women with silicone breast implants.
However, Dr. Smaili says that some women may find it more “reassuring” to have implants or other breast-related enhancements only after having children especially if they are aware of their susceptibility to sagging based on their family history or changes in their mother’s physical appearance.