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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