Breastfeeding Function
Breasts are basically a milk-producing glands which are used to feed babies. There is a nipple in an aerola area (or called nipple areola complex—NAC), with varying colors from pink to dark brown. Within this gland, breast milk is produced by lactiferous ducts and distributed throughout the breast. For every breast, there are four until eighteen lactiferous ducts ending to the nipple. The comparison of glands to fat within the breasts tissue is 2 to 1—in lactating women—or 1 to 1—in non-lactating women. Thre are more than just glands inside a woman’s breasts; there are collagen, elastin, fat, and ligaments. There are also nerve system in breasts, where the anterior and lateral branches of the fourth, fifth, and sixth nerves are located. Thoraric spinal nerve 4 or T4 in breasts also supplies a specific sensation to the nipple area.
The most important concerns about breastfeeding is in the potential of digestive contamination and toxicity. If the filler of breast implant device is leaked to the breast milk, it will endanger the baby. Substances contained in a breast implant filler is chemically and biologically inert, because they were made of environmentally common substances like salt water (for the saline filler)—although silicone in the filler is unable to be digested. Besides, experts have said that whatever the reasons, there shouldnot be any contraindication for breastfeeding by women with implanted breasts. In the beginning of the use of breast implant (at early 1990s), perhaps there are many non-technical complains from patients and doctors about possible complications from the implant device. Yet, there is no disease casuality related to the device.
Augmented Breasts
Meanwhile, women with implanted breasts are still able to feed babies using their breasts. But, this implant devices may give a kind of difficulties. Mammoplasty surgery, which includes a periareolar incisions and subglandular replacement, is the main cause of this difficulties. Moreover, other difficulties are about the potential damage of lactiferous ducts and the nerves around the nipple area.
If the surgeon cut the ducts and any major nerves within the breast tissue or if the glands are damaged somehow, possible difficulties risk arises. The first is common to surgical procedures that involve periareolar incision implantation because it cuts breast tissue close to the nipple. In the other hand, other implantation incisions like inframmamory fold, trans-axillary breast augmentation, or trans-umbilical breast augmentation, avoid this step. However, if the patient is serious about the possibilities of this breastfeeding difficulties, she can ask the doctor to make effective the incision step so that the damage of the milk ducts and nerves can be reduced. Basically, only implants that are placed under the gland (or called subglandular implants) and implants for large-sized breast that mostly affect the milk glands. Implantation for small size breasts and for submuscle gives less risk of breastfeeding function problems.
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Unknown - Wednesday, January 25, 2012
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