Dealing With Engorgement And Mastitis With Breast Implants

Breast implants have become a popular choice for women who wish to enhance their appearance. However, along with the perks, there can also be some challenges. One of these challenges is dealing with engorgement and mastitis. Engorgement occurs when the breasts become overly full and uncomfortable, while mastitis is a painful inflammation of the breast tissue. If you have breast implants, it’s important to be aware of these potential issues and know how to effectively manage them. In this article, we will discuss some helpful tips and strategies for dealing with engorgement and mastitis when you have breast implants.

Understanding Engorgement and Mastitis

What is Engorgement?

Engorgement refers to the condition where the breasts become excessively full and swollen due to an increased supply of milk. It is a common occurrence in the early days of breastfeeding as the body adjusts to the demands of milk production. Engorgement can cause discomfort, pain, and can even interfere with milk flow.

What is Mastitis?

Mastitis is an infection that occurs in the breast tissue, causing inflammation, pain, and flu-like symptoms. It usually results from a blocked milk duct that hasn’t cleared, leading to the growth of bacteria. Mastitis can occur in breastfeeding mothers and non-breastfeeding individuals, but it is more common among women who are lactating. It is important to address mastitis promptly to prevent it from progressing and becoming more severe.

How Do Breast Implants Affect Engorgement and Mastitis?

Breast implants can affect engorgement and mastitis in several ways. First, they can alter the natural flow of milk by potentially affecting the milk ducts and glands. This alteration can increase the risk of engorgement as the milk may not flow as freely. Second, the presence of breast implants can make it more difficult to detect early signs of engorgement and mastitis, as they can change the texture and appearance of the breasts. Additionally, the incision sites for breast augmentation surgery may create potential entry points for bacteria, increasing the risk of mastitis.

Prevention Strategies

Establishing a Good Breastfeeding Routine

Establishing a good breastfeeding routine is key to preventing engorgement and mastitis. This includes frequent and effective breastfeedings, ensuring proper latch and positioning, and ensuring both breasts are adequately drained at each feeding session. By establishing a consistent routine, you can help prevent the development of engorgement and reduce the risk of mastitis.

Proper Breast Pumping Techniques

If you need to use a breast pump, it is important to learn and practice proper pumping techniques. This includes using the correct flange size, maintaining hygiene, and following a pumping schedule that mimics a baby’s feeding pattern. Avoid over-pumping or draining the breasts too quickly, as this can lead to engorgement. By pumping in a way that closely mimics natural breastfeeding, you can help prevent engorgement and reduce the risk of mastitis.

Avoidance of Nipple Damage

Nipple damage is one of the common causes of engorgement and can also increase the risk of mastitis. To prevent nipple damage, ensure correct latch and positioning, and seek help from a lactation consultant if needed. Avoid using nipple shields or artificial nipples unless necessary, as they can interfere with proper latch and contribute to nipple damage. Taking steps to prevent nipple damage can go a long way in reducing the incidence of engorgement and mastitis.

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Wearing Comfortable and Supportive Bras

Choosing the right bras can also contribute to the prevention of engorgement and mastitis. Opt for comfortable and supportive bras that do not compress the breasts excessively. Avoid underwire bras, as they can put pressure on the milk ducts and potentially contribute to blockages. Wearing a properly fitted bra can help maintain proper blood circulation and drainage, reducing the risk of engorgement and mastitis.

Managing Engorgement

Frequent and Effective Breastfeeding

Frequent and effective breastfeeding is crucial in managing engorgement. Ensure that you are breastfeeding your baby on demand, feeding from both breasts, and allowing your baby to continue feeding as long as they are actively sucking. This will help drain the breasts and relieve the discomfort of engorgement. If your baby is not able to effectively drain the breasts, you may need to consider pumping to fully empty them.

Utilizing Cold Compresses

Applying cold compresses to the breasts can provide relief from engorgement by reducing swelling and inflammation. You can use cold packs, cold cabbage leaves, or even a bag of frozen peas wrapped in a cloth to apply cold therapy. Place the cold compress on the breasts for 15-20 minutes several times a day to alleviate the discomfort associated with engorgement.

Applying Warm Compresses

Warm compresses can also be helpful in managing engorgement. Applying warmth to the breasts can promote milk flow and help relieve pain and discomfort. You can use warm washcloths, warm water in a bowl, or a warm shower to gently apply heat to the breasts. Make sure the compress is warm and not hot to prevent any burns or skin damage. Warm compresses can be used before breastfeeding or pumping to encourage let-down and make feeding or pumping sessions more effective.

Using Breast Massage Techniques

Breast massage techniques can aid in relieving engorgement by promoting milk flow and reducing swelling. Gently massaging the breasts in circular motions and applying slight pressure towards the nipple can help break up any blockages and encourage the release of milk. Combine breast massage with warm compresses and continue massaging during breastfeeding or pumping to help the milk flow more freely.

Considering Over-the-Counter Pain Relievers

If the discomfort from engorgement persists, you may consider using over-the-counter pain relievers following the advice of your healthcare provider. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help reduce inflammation and alleviate pain associated with engorgement. Always consult with your healthcare provider before taking any medication while breastfeeding.

Dealing With Engorgement And Mastitis With Breast Implants

Treating Mastitis

Seeking Medical Advice

If you suspect you have mastitis, it is important to seek medical advice from your healthcare provider as soon as possible. They will be able to diagnose mastitis based on your symptoms and provide appropriate treatment. Mastitis often requires medical intervention, so it is crucial to consult with a healthcare professional to receive the necessary care.

Continued Breastfeeding or Pumping

Contrary to popular belief, mastitis does not require stopping breastfeeding. In fact, continued breastfeeding or pumping can aid in clearing the blocked milk duct and helping the infection resolve. The bacteria causing the infection are not harmful to the baby, and breastfeeding can actually help speed up the healing process. It is essential to continue emptying the breasts regularly to prevent engorgement and maintain milk supply.

Antibiotics and Medications

In most cases of mastitis, antibiotics are prescribed to treat the bacterial infection. It is important to take the full course of antibiotics as prescribed by your healthcare provider, even if you start feeling better before completing the treatment. Along with antibiotics, your healthcare provider may recommend pain relievers to alleviate discomfort and anti-inflammatory medications to reduce inflammation.

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Applying Warm Compresses and Cold Compresses

Similar to managing engorgement, warm compresses and cold compresses can be used to provide relief for mastitis. Warm compresses can help reduce pain, promote milk flow, and aid in clearing the blocked milk ducts. Cold compresses, on the other hand, can help reduce swelling and inflammation. Alternate between warm and cold compresses to help alleviate the symptoms of mastitis.

Managing Pain and Discomfort

In addition to using warm compresses and taking prescribed medications, there are other measures you can take to manage the pain and discomfort associated with mastitis. Resting, applying gentle pressure to the affected breast, and wearing a supportive bra can all help alleviate the discomfort. Some individuals find relief by using warm showers or warm baths to relax their muscles and reduce pain. It is essential to prioritize self-care and give your body the time it needs to heal.

Consulting with a Healthcare Professional

The Role of a Lactation Consultant

A lactation consultant can be a valuable resource for individuals with breast implants who are experiencing engorgement or mastitis. They can provide guidance on breastfeeding techniques, help troubleshoot any issues related to breast implants, and offer personalized advice. A lactation consultant can assess latch and positioning, evaluate milk supply, and address any concerns or questions you may have. Seeking support from a lactation consultant can greatly improve your breastfeeding experience and help manage engorgement and mastitis effectively.

The Importance of Regular Check-ups

Regular check-ups with your healthcare provider are essential, especially if you have breast implants. During these appointments, your healthcare provider can monitor the health of your breasts, evaluate the functionality of the implants, and address any concerns or complications. Routine check-ups provide an opportunity for early detection and timely intervention if any issues related to engorgement or mastitis arise. Prioritizing regular check-ups can help ensure the well-being of your breasts and your overall health.

Getting Support from a Plastic Surgeon

If you are experiencing persistent engorgement or mastitis symptoms after breast augmentation surgery, it is important to consult with a plastic surgeon. They can provide specific guidance tailored to your situation and address any potential issues related to the implants. Plastic surgeons with expertise in breast surgery can assess the position and integrity of the implants, offer recommendations for managing engorgement and mastitis, and address any concerns about the impact of breastfeeding on the implants.

Potential Impacts on Breastfeeding

Effect on Milk Supply

Breast implants do not necessarily have a direct impact on milk supply. However, changes in breast tissue and mammary glands resulting from the surgery may affect the overall milk production capacity. Some individuals with breast implants may experience a slightly lower milk supply compared to those without implants. Monitoring your baby’s growth and weight gain, practicing frequent breastfeeding or pumping, and seeking guidance from a healthcare professional can help ensure an adequate milk supply.

Changes in Breast Sensation and Nipple Function

Breast augmentation surgery can potentially cause changes in breast sensation and nipple function. Some individuals may experience temporary or permanent alterations in nipple sensitivity, which can affect breastfeeding. However, it is important to note that these changes are not universal and can vary from person to person. Despite potential changes, most individuals with breast implants can successfully breastfeed with the right support and techniques.

Possible Challenges in Latching and Milk Transfer

Breast implants can occasionally pose challenges in latching and milk transfer for some individuals. The size, shape, and position of the implants can affect the ability of the baby to latch properly and efficiently remove milk. This may result in a lower milk transfer, which can impact milk supply and overall breastfeeding experience. Working closely with a lactation consultant, practicing different nursing positions, and ensuring proper latch can help overcome these challenges and promote successful breastfeeding.

Recovery and Healing

Following Post-surgery Guidelines

Proper post-surgery care and adherence to the guidelines provided by your plastic surgeon are crucial for a smooth recovery and healing process. These guidelines typically include wearing surgical bras or compression garments, avoiding strenuous activities, and refraining from lifting heavy objects. Following these guidelines can minimize complications, reduce the risk of infection, and support optimal healing. It is important to consult with your plastic surgeon for specific post-surgical instructions tailored to your individual needs.

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Nurturing the Healing Process

Supporting your body’s healing process is essential after breast augmentation surgery. This includes maintaining a healthy diet, staying adequately hydrated, and getting enough rest and sleep. Engaging in gentle exercises, such as walking, can also promote circulation and aid in healing. Paying attention to your body’s signals, practicing self-care, and being patient with the recovery process are all vital steps in nurturing the healing process.

Gradual Return to Normal Activities

Gradually returning to normal activities after breast augmentation surgery is important to avoid complications and allow sufficient healing. Your plastic surgeon will provide guidance on when it is safe to resume different activities and exercise routines. It is crucial to listen to your body, start with lighter activities, and gradually progress as your recovery allows. Pushing yourself too soon can potentially hinder the healing process and increase the risk of complications.

Seeking Emotional Support

Support Groups and Online Communities

Joining support groups and online communities can provide a valuable source of emotional support and guidance for individuals dealing with engorgement and mastitis. Connecting with others who have experienced similar challenges can offer reassurance, comfort, and practical advice. Online platforms and social media groups dedicated to breastfeeding and lactation can provide a safe space to share experiences, ask questions, and receive support from a community of like-minded individuals.

Sharing Experiences and Concerns

Sharing your experiences and concerns with trusted friends, family members, or healthcare providers can also provide emotional support and help alleviate any anxieties or worries. Communicating openly about your breastfeeding journey, engorgement, or mastitis can create connections and foster understanding. Remember that you are not alone, and reaching out for support can make a significant difference in your emotional well-being.

Coping with Emotional Aspects

Dealing with engorgement and mastitis can bring about various emotional aspects, from frustration and exhaustion to feelings of inadequacy or disappointment. It is important to recognize and acknowledge these emotions, understand that they are normal, and practice self-compassion. Engaging in relaxation techniques, such as deep breathing or mindfulness exercises, can help manage stress and anxiety. Seeking professional counseling or therapy can also be beneficial in coping with any emotional challenges that arise during this time.

Considerations for Future Implants

Planned Breastfeeding After Implants

Individuals who are planning to have breast implants and want to breastfeed in the future should communicate their intentions with their plastic surgeon. Choosing an experienced plastic surgeon who understands breastfeeding considerations can help minimize potential risks and complications. Your plastic surgeon can guide you in selecting implant placement and incision types that are least likely to interfere with breastfeeding. By discussing your goals and concerns beforehand, you can make informed choices about breast augmentation and breastfeeding.

Choosing Implant Placement and Incision Types

When considering breast implants, it is crucial to discuss implant placement and incision types with your plastic surgeon. Depending on your specific situation, different options may be recommended. Subglandular placement, where the implants are positioned above the chest muscle, generally has a lower risk of interfering with breastfeeding compared to submuscular placement. Similarly, periareolar or inframammary incisions may be preferred over the transaxillary approach to minimize potential disruption to milk ducts. Engaging in a detailed conversation with your plastic surgeon can help you choose the most appropriate options for your desired outcome and future breastfeeding goals.

Discussing Potential Risks and Complications

Prior to undergoing breast augmentation surgery, it is crucial to have an open and honest discussion with your plastic surgeon about potential risks and complications that may affect breastfeeding. While the impact of breast implants on breastfeeding is typically minimal, it is important to be aware of the possibility of changes in milk supply, breast sensation, and challenges in latching. Understanding the potential risks and complications can help manage expectations and make informed decisions about breast augmentation and future breastfeeding.


Understanding how engorgement and mastitis can impact individuals with breast implants is crucial for proactive management and successful breastfeeding. By implementing prevention strategies, such as establishing a good breastfeeding routine, utilizing proper breast pumping techniques, and wearing comfortable and supportive bras, individuals can decrease the likelihood of experiencing engorgement and mastitis. In the event that engorgement or mastitis does occur, there are effective management and treatment options available, including frequent breastfeeding, cold and warm compresses, breast massage techniques, and seeking medical advice when needed. Seeking emotional support and discussing future implant considerations with healthcare professionals can also contribute to a positive breastfeeding experience. With the right knowledge, support, and proactive measures, individuals with breast implants can navigate engorgement and mastitis successfully while nurturing their breastfeeding journey.