Breastfeeding After Breast Augmentation: Factors to Consider

Whether you are already a mother considering a breast augmentation surgery or would like kids in the future, you may have questions about breast feeding with a breast augmentation. This is one of the most frequently asked questions that board-certified plastic surgeon Dr. Fichadia gets from her patients considering breast augmentation.  The answer is most likely yes, with the following considerations.

Considerations When Wanting to Breastfeed with Implants

There are several different factors that you will need to consider when breastfeeding after having implants. These include:


You will need to look to see where your incisions were made. If they go around your nipples and areolae, you may not be able to produce milk. With this kind of incision, nerves and milk ducts can possibly be severed. If you have incisions that are within the breast fold, away from the nipple, you should not have any issues with nerve or milk duct damage, and you will be able to breastfeed successfully.

Reason for Augmentation

The other thing to consider is the reason for augmentation surgery. If you have fairly symmetrical, regularly shaped breasts and you just wanted a little boost, then chances are you will not run into difficulty breastfeeding. But, if you have very flat or tubular shaped breasts before your augmentation, you may have been at risk for low milk supply due to insufficient glandular tissue regardless of having surgery. Some breasts don’t develop properly during puberty and therefore don’t contain enough glandular tissue to produce the necessary breastmilk.

If you are still uncertain whether or not you can breastfeed after getting breast implants, speak with your obstetrician and Dr. Hetal Fichadia, MD, FACS, to see what they recommend.

Implant Location

In conclusion, most women are able to successfully breastfeed their babies after breast augmentation. However, for a variety of reasons—some implant-related and some not—breastfeeding may not always be feasible. Conservatively-sized implants placed below muscle through an incision away from the nipple-areola are least likely to interfere with breastfeeding. 

Tips for Breastfeeding with Breast Implants

For women starting their motherhood journey, once you have spoken with your doctors and found whether or not it is possible to breastfeed, your next course of action is to meet with a lactation consultant. A lactation consultant will be your biggest ally when it comes to breastfeeding. This consultant will be able to tell you ways to increase your milk production and have a successful time at breastfeeding with breast implants.

If you struggle to breastfeed or you have further questions about breastfeeding when having implants, you can speak to your lactation consultant and your doctor to determine the best course of action for you. Having a strong support system can help you to succeed at your goals of breastfeeding.

You may also worry about the effect breastfeeding will have on your implants. It’s normal for your breasts to change in shape and size during pregnancy and after breastfeeding. Breastfeeding won’t affect your implants, but the size and shape of your breasts overall may be different. Dr Fichadia is always available to answer your questions as you go through these life changes after your breast augmentation surgery.

Contact Dr. Fichadia

If you are interested in or have questions about breast augmentation and the results of a procedure like this, contact our office to get a professional opinion from Dr. Fichadia. Call or fill out our online contact form to schedule a consultation, today.

Our Top Breast Augmentation Recovery Tips

Breast augmentations rank at the very top in terms of cosmetic surgery procedures that are most popular. If you are interested in getting this procedure done, it’s important to know what to expect and to carefully follow the doctor’s tips. Among those tips are those that can aid in your smooth recovery. Here is what you should do after your breast augmentation.

Get a Ride from and Stay with Someone Trustworthy

You should have someone close to you in tow to give you a ride home or stay with them at their home for at least 24 hours after your surgery. Breast augmentation surgery requires downtime while you recover, which means it’s beneficial to have someone you trust to stay with you and help you with tasks at home for 24 to 48 hours after your surgery.

Eat Before Taking Pain Medication

Always eat at least small meals or things like toast or crackers before you take your pain medication. This helps to stave off nausea. You may want to have a few meals pre-prepared prior to your surgery as well.

Sleep on Your Back or Side

If you’re a stomach sleeper, you should skip that after your breast augmentation surgery. Instead, sleep on your back or side. If it’s more comfortable for you, you can even sleep while reclining, such as upright on your couch, in a plush chair, or with a few pillows propping you up in bed.

Add More Foods When Possible

Although your pain medication causes you to feel nauseous, you should gradually be able to add more foods. Also, make sure to drink plenty of water to avoid becoming dehydrated.

Avoid Strenuous Activity

You should avoid strenuous activity after your surgery. Don’t do any heavy lifting or exercise other than light things such as walking until the doctor instructs you that you can resume those activities.

Don’t Use Over-the-Counter Scar Creams

After your surgery, you should avoid using over-the-counter scar creams or ointments on your incisions. They can lead to adverse reactions that can irritate your skin. Carefully listen to the doctor and follow all instructions. Also, note that your scars will begin to heal a few weeks after your breast augmentation.

Swelling is Normal

While every woman is different, you should expect to experience swelling for several weeks to even months after your surgery. Generally, most of this occurs in the first few weeks after the procedure. It signifies that your breasts are moving into their final position, size, and shape.

Be Positive

Because healing takes time and is both physical and psychological, it’s important to maintain a positive attitude. Your recovery may take longer than you might expect, but it is all worth it in the end. You should also remember that nothing is perfect and that you should reach out to your loved ones for a strong support system while you heal.

Schedule a Consultation

If you live in the Portland, Oregon area and are interested in having a breast augmentation done, contact Hetal Fitchadia, MD, FACS at your earliest convenience. Schedule a consultation by calling (503) 488-2344 or request an appointment online.

Breast Augmentation vs. Breast Lift: How to Choose the Right Procedure for You

The size of breasts can influence how a woman feels about her body. If you are uncomfortable about your breast size, you might think of surgical procedures. The most common surgeries are breast augmentation and breast lift.

What is breast augmentation?

Breast augmentation (augmentation mammoplasty) is a surgical procedure that involves breast enlargement. Breast implants are placed under the chest muscles or the breast tissues. Before you resolve to undergo this surgery, it would help if you consult with an expert.

Four vital considerations determine if you can undergo breast augmentation surgery. These are implant shape and size, placement incision, type of the implant, and the risks associated. Breast augmentation enhances the breast’s appearance (if you think they are too small), reduce the size after pregnancy or breastfeeding, and correct uneven breasts.

What is Breast Lift?

Also known as mastopexy, a breast lift is a surgery that intends to change the breasts’ position. The tissue is reshaped by removing excess skin, raising the breasts. If your breasts are sagging or the nipples point downwards, you might consider a breast lift.

Why is a breast lift done?

With time, your breasts change and lose elasticity. Several issues cause the change in breast elasticity, including pregnancy-the breast ligaments stretch to support the breasts. Other reasons could be changes in weight- as your skin changes, the breasts lose firmness and gravity, pulling the breasts.

A breast lift reduces sagging by raising its position (the nipples and the areolae). In the process, the breast size can be reduced so that they have the appropriate proportion. You can consider a breast lift if you have either of the following:

  • Your breasts are flatter and longer or sagging
  • The nipples fall below the breast creases or point downward
  • The areolae are no longer proportional

Though patients with sagging breasts can undergo a breast lift, you might have to postpone the decision if you intend to conceive. Ladies who are breastfeeding should avoid the procedure to get excellent results. Women with larger breasts might not love the appearance- the breasts will sag again years after the surgery.

How do you choose the right procedure?

Before settling for either or both procedures, several factors should influence your decision. These include:

  • Nipple’s position – if the nipples sit below the breast crease or point downwards (your breasts are sagging), a breast lift is viable.
  • Breast’s volume –It refers to the breast’s fullness. Age, weight loss, or pregnancy can alter the breasts fullness. Both surgeries can are viable for excellent results.
  • Breast size –if your breasts are smaller, the appropriate surgery should be breast augmentation.

Either way, both surgeries vary and have advantages and disadvantages. If you want to increase the size of the breasts, you should consider breast augmentation. On the other hand, breast lift should be viable if you have loose or sagging breasts.

Patients who want to increase the bust’s size should do both surgeries. When you combine both surgeries, you will get two benefits; fuller and firmer breasts. Since breast surgeries are personal decisions, you need an expert’s input –you can contact Hetal Fichadia for comprehensive information and the appropriate surgery.

Breast Augmentation or Breast Lift: Which is Right for You?

If you’re dissatisfied with the appearance of your breasts, it’s important to know you have options. The most popular is breast augmentation, which involves increasing your breasts’ cup size through the use of implants or fat transfer. A breast lift, on the other hand, involves restructuring the breasts so that they are higher and perkier when you have sagging and deflation. It’s important to know when and why you should choose one of these procedures over the other. Sometimes, you can benefit from having them both together, so here’s what to know about choosing the right option for you.

Reasons to Have Breast Surgery

There are a variety of reasons you might choose to have breast surgery. These include:

• You want to correct sagging
• You wish your clothing fit better
• You want to increase the fullness and angle of your breasts
• You wish to restore the volume your breasts had prior to weight loss or pregnancy
• You want to better contour your figure
• You want to balance out the proportion of your figure
• You wish to improve the symmetry of your breasts
• You want to boost your self-confidence and esteem

Is Breast Augmentation or Breast Lift Better for Me?

According to the American Society for Aesthetic Plastic Surgery, hundreds of thousands of women undergo breast augmentation procedures each year. Specifically, this includes procedures like breast augmentation, breast implant surgery, and breast enlargement. Overall, breast augmentation has stayed at the top of the list of cosmetic surgery procedures at number two in the United States. At the same time, breast lift surgeries have grown in popularity by around 70 percent since 2000.

Advantages of Each Procedure

There are some well-documented benefits to breast augmentation. They include the following:

• High satisfaction rates
• Improvement in your figure for the long term
• Minimal scarring

There are also plenty of benefits to a breast lift. You can expect the following:

• Improvement in the shape, symmetry, and projection of your breasts
• Your clothing fits better, giving you better self-confidence
• Minimal scarring that’s easily hidden with clothing
• Lasting results if you maintain your weight

Combining Both Procedures

While many women opt for either breast augmentation or breast lift, in some cases combining breast augmentation and breast lift procedures can be a great option. This is often best when you have sagging breasts with a loss of volume and dissatisfaction about the size of your breasts at the same time. When the two procedures are combined, it can have a twofold benefit in saving you money and recovery time. This option is often a popular choice for mommy makeover procedures because it combines the best of both worlds.

Schedule a Consultation

The best way to learn more about your breast surgery options is by meeting with Dr. Hetal Fichadia to begin planning the ideal breast augmentation with lift procedure for you. To get started, we invite you to contact our Portland office by calling or filling out our online form.

Types of Breast Augmentation Surgery

Breast augmentation helps women who believe their breasts are too small or asymmetrical and women who have breasts that sag or are in other ways aesthetically displeasing to them. This can be the result of their heredity, age, pregnancy, breastfeeding and a rapid loss of weight that can happen because of bariatric surgery. Patients are rightfully concerned about scarring from incisions for the surgery. Dr Hetal Fichadia offers two incisions for breast augmentation patients to choose from depending on the patient’s anatomy and preferences.


In this type of breast augmentation, Dr. Hetal Fichadia makes an incision around the dark area around the nipple, or areola. In this way, the scar isn’t visible as it readily hides in the transition between pigmented and non-pigmented skin. She may use this type of technique if she’s also performing a breast lift.


The crease just beneath the breasts is called the inframammary fold, and an incision in this area is another way to perform a breast augmentation. This is the most commonly used incision in our practice as it has a lower rate of capsular contracture. The scar that’s left is hidden inside the crease and is usually not visible with the patient sitting or standing.

After the Surgery

Breast implantation surgery takes about two hours. It’s usually an outpatient procedure. Dr. Fichadia uses dissolving sutures to close the incisions and applies a simple paper dressing over it.

After the surgery, the patient will need to be driven home and should have arranged for someone to stay with her for the first day or two after their surgery. The patient should prepare her home for the initial healing period and recovery. This might mean making dinners ahead of time and putting them in the freezer, placing needful things within reach, and preparing to avoid strenuous housework immediately after surgery. Lifting restrictions are 25 lbs for 4 weeks.

The patient’s breasts will be uncomfortable and swollen for a few weeks after breast augmentation, but this improves over time. It can take up to 6 months for the breast shape to evolve as implants drop. After time, patients begin to see the final results of her breast augmentation. Most patients are thrilled with their new look.

Schedule a Consultation

If you’re interested in breast augmentation, the first step is scheduling a thorough consultation. Get in touch with Dr. Hetal Fichadia at (503) 488-2344 to request your first appointment.

What You Need to Know About Your Breast Augmentation Recovery

So, you are considering breast augmentation. If you’re scheduled to have breast augmentation surgery, then you’re not alone. Breast augmentation surgery is one of the most requested elective surgeries in the country and with good reason. Dr. Hetal Fichadia has been performing breast augmentation surgeries for years with many satisfied patients. This procedure has a very high patient satisfaction rate. Her experience with breast augmentation procedures means she is well qualified to assist anyone who wants to feel more confident about their appearance.

One of the most common questions asked by our breast augmentation patients is the recovery time. Most women opting for this surgery have busy schedules, both in and outside of the home. Naturally, recovery is a prime concern. Dr. Fichadia uses the principles of Rapid Recovery breast augmentation, or flash recovery breast augmentation, or 24-hour-recovery breast augmentation. Also known as One-day recovery breast augmentation, this is an approach to breast augmentation popularized by Dr. John Tebbetts. The process starts before the day of surgery with a selection of implants and education about the recovery process. During the surgery, Dr. Hetal Fichadia uses a minimally traumatic technique, with minimal blood loss. All of these details combine to ensure recovery with minimal discomfort. Emphasis is on making sure that patients move their arms, and get as close to their normal activities immediately afterward.

How Will I Feel Right After The Breast Augmentation Procedure?

It’s natural to feel nervous about the surgery, even if you know the outcome is going to look amazing. For most of our patients, narcotic pain medications are not necessary, even though you will be prescribed a small amount. Most patients do well with Tylenol and/or Advil. Immediately after the surgery, while still in the recovery room, our qualified and compassionate nurses will help you start the stretches that allow you to lift your arms overhead. Depending on the time of surgery, you can take a short nap after your discharge, and take a shower after you wake up. Dr Fichadia encourages you to go out to dinner, or visit friends the same day as 24-hour-recovery breast augmentation surgery. Sexual intercourse is permitted the evening of your surgery. Use common sense to avoid trauma to the breasts. This is in stark contrast to the traditional teaching where arm movements are restricted for several weeks.

How much pain can I expect after surgery

As mentioned earlier, pain is easily managed by non-narcotic pain medicine. Most women describe the discomfort as a sense of muscle soreness, or a feeling similar to “when your milk comes in”, rather than severe pain. As this resolves, you may have a little soreness on the sides of your breast/chest. Again, this is all normal. Ice packs also help with discomfort. Don’t use ice packs for over 20 minutes as this can cause a mild burn.

What about activities, exercising, and driving?

You are encouraged to do gentle exercises immediately after surgery and can use a treadmill (no incline) the same day. It is important that you not engage in strenuous activities (anything that can get your heart rate over 120) in the first three weeks after surgery. You may lift up to 25 pounds. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. If you have a sedentary job, you may return to work when you feel comfortable. Patients sometimes report difficulty with opening/closing heavy doors (i.e. car doors) and opening pill bottles. You are encouraged to do gentle exercises immediately after surgery and can use a treadmill (no incline) the same day. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Again, avoid aerobic exercises for 2 weeks. We like to say “Let pain be your guide”. The activities that are to be avoided (for 4 weeks) are bench presses, pec fly, weight lifting, push-ups, swimming as these activate your pectoralis muscle.

Following breast augmentation, the breasts will be fairly tight, and there will not be much movement of the breasts. As the breasts stretch and relax, you will see more motion, but this will take months.

You may drive when driving does not cause pain and you can drive defensively. This may occur as soon as the next day if you have a car with power steering. We strongly recommend that you DO NOT drive the same day as your surgery. This is a general recommendation for anyone who has undergone a general anesthetic.

The first week after your breast augmentation surgery, it’s important to follow all of your surgeon’s instructions for care. You will have a small dressing that you can remove after your procedure, except for the incision tape.

How Can I Speed Up My Recovery Process?

Before your surgery, make sure to eat a healthy diet and get regular exercise. Stay hydrated by drinking plenty of water and eating healthy food. Do your stretches as prescribed and increase your activity as your discomfort permits. Remember, the goal is to continue your pre-surgery activities as much as possible to have a speedy recovery with a 24-hour-recovery breast augmentation.

When Will I Be Fully Recovered?

Every person is different when it comes to healing time, but most patients are able to return to work after 2-3 days, as long as they are not lifting over 25 lbs, and are avoiding the activities described above. After two or three weeks, you should be able to perform light exercises, but you should be careful not to exert yourself. In a few weeks, you’ll be enjoying the benefits of your gorgeous new figure without much discomfort. The final shape of the breasts can take 5-6 months to evolve.

Healing After Your Breast Implant Procedure

Breast augmentation is a plastic surgery procedure that’s been popular for many decades at this point. People decide to get breast implants for all sorts of significant reasons. They often do so to look better in their clothing items. They often do so because they think that their breasts are uneven in size. It doesn’t matter why specifically you decide to get breast augmentation. The thing that matters most is recovering in a safe and healthy manner. If you’re currently trying to decide whether you want to get breast implants, you should learn all that you can about typical recovery duration periods.

Recovery Periods After Getting Breast Implants

Patients should be realistic with regard to breast implant recovery matters. That means that they should acknowledge the fact that all individuals are totally different. They’re never identical. That’s why breast augmentation healing periods always vary. You cannot predict how long it will take for your individual body to bounce back simply by assessing another patient’s situation. Despite that, the vast majority of plastic surgeons out there state that complete breast implant recovery calls for roughly six weeks in total. The majority of women who get implants state that they’re 100 percent normal after roughly one week has gone by.

Plastic surgeons are able to evaluate patients’ health situations. That’s how they’re in many situations able to provide patients with recovery duration guesses that make sense. There are many different parts of breast implant recovery. After you go through your procedure, you may make up feeling somewhat cranky and out of sorts. Soreness may be an issue for you as well. People who get breast implants often feel exhausted for anywhere between three and five days. Surgeons frequently give their patients pain medicine prescriptions.

Bouncing back after breast augmentation surgery is something that calls for a lot of care. You should speak with your surgeon about all of the things you can do to stay on track and bounce back as healthily as possible. This can be especially vital for women who have busy careers and plentiful social obligations. You may want to talk to your plastic surgeon about going back into your physical fitness regimen. You don’t want to shock your body and interfere with healing by going back to the gym and jogging too rapidly. For the first couple of weeks after surgery, patients should not undergo any strenuous activity.

Women who receive breast implants in most situations are given the “okay” to get back to their lives as normal after approximately two months. Patients should do everything they can to promote recovery stages that are devoid of complications. That means that they should listen meticulously to any and all instructions that are given to them by their plastic surgeons.

Contact Dr. Fichadia’s Office in Portland, Oregon

Are you curious about breast implant recovery in Portland, Oregon? Call Dr. Hetal Fichadia‘s office to set up a consultation. We’re a plastic surgery clinic that concentrates on all kinds of face, body and breast procedures.

Directions from Portland, Oregon

Choosing the Right Breast Implant: Gummy Bear Implants

The breast augmentation is highly customizable thanks to more and more breast implants entering the market. If you need breast implants and you are trying to choose the best option, it can be stressful trying to understand all of the different possibilities. The Gummy Bear implant is one that has some advantages over the rest and might be a great solution for you.

What Are Gummy Bear Implants?

Gummy bear implants are gel-based and have an advantage over most other types of implants because they keep their shape very well. The reason they are called gummy bear implants is that the gel is cohesive, resembling gummy bear candy.

What Are the Main Advantages and Disadvantages?

Like any implant material, gummy bear implants have both pros and cons. They do provide the necessary function of solving issues with structure, shape, and size. They have also been shown to have a lower number of capsular contracture complications than other types of implants. Capsular contracture complications are among the most common in breast augmentation, resulting in a hardening and tightening of the implants. While other types of implants can leak, causing serious complications, gummy bear implants are less likely to do so.

As for disadvantages, gummy bear implants are more expensive compared to other options. Because breast implants are often not covered by insurance, paying for implants can be a challenge. The surgery is also more extensive, involving a longer incision. While they are less likely to leak than other implants, when they do, leaks can be more difficult to discover. It is also possible, though unlikely, that the implants may rotate over time, causing a change in shape.

Is It Time to Get an Implant?

If you need reconstruction during one of the most difficult times of your life as you are fighting breast cancer, or if you feel that you need to improve your figure and enhance your beauty, then breast augmentation may be just what you want. Gummy bear implants can make a huge difference, and they are considered reasonably safe. Even so, you always need to be aware of the possible risks associated with such surgery.

Like any breast augmentation surgery, you may suffer from pain or scarring as a result. Every surgery carries a certain risk of infection, and implants have a special concern because they may rupture. That risk is reduced with gummy bear implants, but it is still present. Some other unusual side effects may be severe nausea after surgery or weight loss. Back pain is another possible problem.

If you are seeking breast augmentation and you want a caring, experienced plastic surgeon to make sure that you can mitigate these risks as much as possible while restoring your original image. Dr. Fichadia can give you compassionate care and provide the services you need. Dr. Fichadia can give you various types of breast implants or other forms of reconstructive or cosmetic surgery. Contact her office to learn more about how plastic surgery can help you.

How to Avoid Buyer’s Remorse When Choosing Your Breast Implant Size

Breast augmentation is a highly customizable procedure. It is meant to help you feel the most confident in yourself so you get to make decisions every step of the way. You get to choose where what kind of implants you get, where they’re placed, and what size the implants will be. When choosing your implant size, you should consider both your lifestyle and aesthetic. But don’t forget about comfort, health, and aging. Dr. Fichadia will work with you to help make the best decisions based on your goals.


Questions to Keep in Mind

  • Do I want my breasts to look natural or augmented?
  • What effects will the augmentation have on my current lifestyle?
  • How will the implants influence my clothing and fashion?
  • What effects will implants have on my breast health?
  • How can I reduce my risk of needing mastopexy later?
  • Will I still be happy with this size twenty years down the line?

These are all answers that you should answer during your consultation with a surgeon.

Important Fundamentals of Sizing Breast Implants

When picking a size, keep in mind your long term goals and your lifestyle. If you’re a runner or athlete, larger breast implants might get in the way. You need a size that will make you happy without impeding your health and lifestyle.


Since cup size is a relative measurement that varies widely between manufacturers, your implant size will be measured with cubic centimeters. Since it’s hard to conceptualize how much volume a 300 cc implant has, you’ll want to experiment with trying on implants. The majority of women get implants from 300 to 400 cc, but they can range from a minimum of 100 cc to a maximum of 1000 cc.


The profile will determine how much your implant projects. You can choose from high, mid-range, moderate, or low implant styles. Low implants have less projection, while high implants have the greatest amount of volume with a narrow width. As a general rule, the lower the implant profile, the more natural the look will be.

Current Dimensions

You have to keep your chest width and diameter of your current breasts in mind. These measurements will affect the implants available. A properly-fitted breast implant must have a perfectly calculated width.

Thickness of Tissue

Different women have different thickness of their natural breast tissue. This also affects your available sizing options. If you have thick breast tissue, you’ll likely be able to accommodate wider-cut implants when compared to those with thinner tissue.

Using Visual Aids

To get a better understanding of what different implant styles and sizes look like, take a look at some before and after photos with Dr. Fichadia. You can look for patients who have a similar beginning breast shape and size and see what their post-surgical look is.

Sizers to Test Drive the Implants

When you have consultations and appointments leading up to your surgery, your surgeon should give you access to sizers. All you do is pick a bra size you want, place the sizers inside, and determine whether you feel comfortable with this.

Schedule a Consultation

The best way to determine the size and shape of the breast implant you want is by speaking with an experienced professional like Dr. Hetal Fichadia. She will examine your breasts, go over your health, lifestyle, and discuss your desired results with you to guide you towards the best decisions for your breast augmentation. To make a consultation, call the office today!