Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study

BACKGROUNDExclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery. OBJECTIVEThe goal of our study was therefore to analyze the potenti...

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Veröffentlicht in:Annals of plastic surgery 2019-01, Vol.82 (1), p.11-14
Hauptverfasser: Bompy, Lisa, Gerenton, Brice, Cristofari, Sarra, Stivala, Alessio, Moris, Vivien, See, Leslie-Ann, Rizzi, Philippe, Braye, Fabienne, Meningaud, Jean-Paul, Zwetyenga, Narcisse, Guillier, David
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container_end_page 14
container_issue 1
container_start_page 11
container_title Annals of plastic surgery
container_volume 82
creator Bompy, Lisa
Gerenton, Brice
Cristofari, Sarra
Stivala, Alessio
Moris, Vivien
See, Leslie-Ann
Rizzi, Philippe
Braye, Fabienne
Meningaud, Jean-Paul
Zwetyenga, Narcisse
Guillier, David
description BACKGROUNDExclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery. OBJECTIVEThe goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. STUDY DESIGNA retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18–50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding. RESULTSIn total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group. CONCLUSIONA woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants.
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In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery. OBJECTIVEThe goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. STUDY DESIGNA retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18–50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding. RESULTSIn total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group. CONCLUSIONA woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/SAP.0000000000001651</identifier><identifier>PMID: 30325833</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Breast Feeding - methods ; Breast Feeding - statistics &amp; numerical data ; Breast Implantation - adverse effects ; Breast Implantation - methods ; Cohort Studies ; Esthetics ; Female ; Follow-Up Studies ; France ; Hospitals, University ; Humans ; Middle Aged ; Patient Safety ; Pregnancy ; Reference Values ; Retrospective Studies ; Risk Assessment</subject><ispartof>Annals of plastic surgery, 2019-01, Vol.82 (1), p.11-14</ispartof><rights>Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3051-b25a84beb1484fc16aab78265a7b2b34fc1fb441c06082812cf8c25ec513bb8b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30325833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bompy, Lisa</creatorcontrib><creatorcontrib>Gerenton, Brice</creatorcontrib><creatorcontrib>Cristofari, Sarra</creatorcontrib><creatorcontrib>Stivala, Alessio</creatorcontrib><creatorcontrib>Moris, Vivien</creatorcontrib><creatorcontrib>See, Leslie-Ann</creatorcontrib><creatorcontrib>Rizzi, Philippe</creatorcontrib><creatorcontrib>Braye, Fabienne</creatorcontrib><creatorcontrib>Meningaud, Jean-Paul</creatorcontrib><creatorcontrib>Zwetyenga, Narcisse</creatorcontrib><creatorcontrib>Guillier, David</creatorcontrib><title>Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>BACKGROUNDExclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery. OBJECTIVEThe goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. STUDY DESIGNA retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18–50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding. RESULTSIn total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group. CONCLUSIONA woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants.</description><subject>Adult</subject><subject>Breast Feeding - methods</subject><subject>Breast Feeding - statistics &amp; numerical data</subject><subject>Breast Implantation - adverse effects</subject><subject>Breast Implantation - methods</subject><subject>Cohort Studies</subject><subject>Esthetics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>France</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Patient Safety</subject><subject>Pregnancy</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMlOwzAQhi0EgrK8AUI-cgl4TQy3gNikIhDLObLdSRvIhu2A-va4tCDEgbnM6Nc324_QPiVHlJxkx4_5_RH5FTSVdA2NqORpwjOi1tGIUKGSjAi-hba9f4kMUyLdRFuccCYV5yPU3zS9tgF3LT5zoH0oASZVO8W5tZ37qkKHI1TrNuBL0GFw4HH1jeN8mDbQBh2qrj3FOb4d6lDZqLjK4gcIrvM92FC9A34Mw2S-izZKXXvYW-Ud9Hx58XR-nYzvrm7O83FiOZE0MUxqJQyY-IIoLU21NpliqdSZYYYvpNIIQS1JiWKKMlsqyyRYSbkxyvAddLic27vubQAfiqbyFur4B3SDLxhlVJxIkaURFUvUxmO9g7LoXdVoNy8oKRZeF9Hr4q_Xse1gtWEwDUx-mr7NjYBaAh9dHcD513r4AFfMQNdh9v_sT7QSi90</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Bompy, Lisa</creator><creator>Gerenton, Brice</creator><creator>Cristofari, Sarra</creator><creator>Stivala, Alessio</creator><creator>Moris, Vivien</creator><creator>See, Leslie-Ann</creator><creator>Rizzi, Philippe</creator><creator>Braye, Fabienne</creator><creator>Meningaud, Jean-Paul</creator><creator>Zwetyenga, Narcisse</creator><creator>Guillier, David</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study</title><author>Bompy, Lisa ; Gerenton, Brice ; Cristofari, Sarra ; Stivala, Alessio ; Moris, Vivien ; See, Leslie-Ann ; Rizzi, Philippe ; Braye, Fabienne ; Meningaud, Jean-Paul ; Zwetyenga, Narcisse ; Guillier, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3051-b25a84beb1484fc16aab78265a7b2b34fc1fb441c06082812cf8c25ec513bb8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Breast Feeding - methods</topic><topic>Breast Feeding - statistics &amp; numerical data</topic><topic>Breast Implantation - adverse effects</topic><topic>Breast Implantation - methods</topic><topic>Cohort Studies</topic><topic>Esthetics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>France</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Patient Safety</topic><topic>Pregnancy</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bompy, Lisa</creatorcontrib><creatorcontrib>Gerenton, Brice</creatorcontrib><creatorcontrib>Cristofari, Sarra</creatorcontrib><creatorcontrib>Stivala, Alessio</creatorcontrib><creatorcontrib>Moris, Vivien</creatorcontrib><creatorcontrib>See, Leslie-Ann</creatorcontrib><creatorcontrib>Rizzi, Philippe</creatorcontrib><creatorcontrib>Braye, Fabienne</creatorcontrib><creatorcontrib>Meningaud, Jean-Paul</creatorcontrib><creatorcontrib>Zwetyenga, Narcisse</creatorcontrib><creatorcontrib>Guillier, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bompy, Lisa</au><au>Gerenton, Brice</au><au>Cristofari, Sarra</au><au>Stivala, Alessio</au><au>Moris, Vivien</au><au>See, Leslie-Ann</au><au>Rizzi, Philippe</au><au>Braye, Fabienne</au><au>Meningaud, Jean-Paul</au><au>Zwetyenga, Narcisse</au><au>Guillier, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2019-01</date><risdate>2019</risdate><volume>82</volume><issue>1</issue><spage>11</spage><epage>14</epage><pages>11-14</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><abstract>BACKGROUNDExclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery. OBJECTIVEThe goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. STUDY DESIGNA retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18–50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding. RESULTSIn total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group. CONCLUSIONA woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>30325833</pmid><doi>10.1097/SAP.0000000000001651</doi><tpages>4</tpages></addata></record>
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subjects Adult
Breast Feeding - methods
Breast Feeding - statistics & numerical data
Breast Implantation - adverse effects
Breast Implantation - methods
Cohort Studies
Esthetics
Female
Follow-Up Studies
France
Hospitals, University
Humans
Middle Aged
Patient Safety
Pregnancy
Reference Values
Retrospective Studies
Risk Assessment
title Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study
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