American Society of Plastic Surgeons
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megp1107
one year ago
Answered

Breast Reduction after nursing

I have been large chested since high school. After getting pregnant with my first I went from a G cup to an I cup within the first trimester without weight gain. I’m due with my second soon and pushing a J cup. I have intense back pain and will be up for hours at night. I want a breast reduction as soon as I’m done nursing my second. How many months after weaning can I pursue surgery?

Procedure: Breast Reduction
Type: Question

Replies 7

Orlando Cicilioni
ASPS Surgeon

If the breasts are still swollen from nursing, it makes the surgery more challenging for several reasons. First the surgery is more difficult. Second, it is more difficult to determine the appropriate amount of tissue to remove. There are many factors to consider in this question.

It is generally best to wait a minimum of 3 months after completion of breast feeding, but preferably 6 months, in order to allow the breasts to shrink back down to their normal size. It is also very important that try to get back to your pre-pregnancy weight before having the surgery. This will help with getting the size of the new breast just right. Excessive weight loss after a breast reduction may lead to recurrent dropping of the breasts (ptosis) prematurely.

Also plan after your surgery for appropriate assistance with the infant. You will want to avoid having to pick the baby up and carry the child around while you are still recovering from major surgery.

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Susan Buenaventura
ASPS Surgeon
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Congratulations on your pregnancy and growing family! You are a great candidate for breast reduction. You should wait at least 6/months after you stop nursing ( which will go by quickly) to have your breast reduction. Surgery can stimulate the lactation process sometimes so it is wise to wait. You can certainly seek a consultation at any time to gather information. If you do have more children in the future, nursing may still be possible with the proper technique.

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Sara Dickie
ASPS Surgeon
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This is a great question and I'm happy to answer it in a few parts. First, it's important to consider if you will have another child and want to breast feed. After a reduction it is unlikely you will be able to breast feed again.

I typically recommend women wait three months following weaning to have surgery. You will likely have more volume loss at 6 months to one year, but at 3 months the breast should be completely dormant from milk production.

Next, I am certain that you have had symptoms that are impacting your health for a long time. Many insurers will want to make sure that you have taken steps to correct your symptoms with other methods prior to surgery. I would recommend contacting your insurer to see what criteria they require prior to coverage. Your surgeon will also help with this, but initiating contact with your insurance company will help expedite the process.

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Nelson Castillo

Thank you for sharing your excellent question. In general I tell women to wait at least six months after delivery or 3 months after the cessation of nursing, whichever is later, before entertaining any surgery. Hope this helps.

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Dennis Hurwitz
ASPS Surgeon
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If you anticipate no further pregnancies then your are a candidate for breast reduction 6 months after delivery opr 3 month months after cessation of breast feeding.

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Adolfo Sesto
ASPS Int. Surgeon

Hello meg1107. Three (3) month after breast feeding or pumping is the right amount of time to undergo your Mammoplasty. This period is needed to let your hormones go back to normal to avoid hyperpigmentation of the scar, and to avoid too much bleeding during surgery.

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Rahul Vemula
ASPS Surgeon
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Thanks for your question! For best results, I always recommend waiting three months after you have stopped nursing in order to proceed with the breast reduction. In addition, please be aware that if you plan to have another child, please note that you may have decreased milk production after a breast reduction.

Best wishes!

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