It is a question every new mother has to face: to breast feed or not breast feed. Anne got some insight on the pros and cons.
Audra Lowe: It's a question that every new mother has to face to breast feed or not and I got some insight on the pros and cons. Female Speaker: Breast feeding is a wonderful way for a mother to both nourish and bond with her baby. But this labor of love can take its toll on a women's breast. Dr. Kaveh Alizadeh: As the milk is produced you have a larger breast ducts and that would lead to larger size of the breast itself. Female Speaker: New York plastic surgeon Dr. Kaveh Alizadeh sees the effects of breast feeding first hand in many of his patients. Dr. Kaveh Alizadeh: Once their skin has been stretched over certain limit, it'll not go back to its original form. So, the same thing with the breast tissue, if the breast is enlarged to a point that the skin cannot go back to it's original form, you are going to start getting some stretch marks, you may see dilation of the nipple-areola complex and actually in some cases again because of the hormonal mechanism, you may see some pigmentation of the areola. Some of those changes are reversible, but for the most part some of those changes will actually stay with the patient. Anne Ebeling: There are a lot of creams out there that claim to firm the skin and even the breasts with continued application. But even if these creams succeed in some firming of the skin, Dr. Alizadeh says they cannot firm the overall tone of the breast. Dr. Kaveh Alizadeh: There is not a day that goes by that I don't have one my patient's that comes by and tells me about some cream that they saw in the TV or in an ad somewhere and unfortunately there is no good scientific evidence that supports any of the creams that are out there. The only way to really be able to change the skin itself is to tuck it you know to get rid of the extra skin and re-sew it together. Then underneath the breast you have a fat, underneath that fat is breast tissue, and then beneath that you have a muscle. So, if you really looked at it a lot of these firming lotions are, the promises of hoping a jar the breast don't really pan out because they are really being focused on the top of the skin and as such they really don't have any way to able to reflect the entire breast tissue. Female Speaker: But there are options for women looking to reclaim their pre-baby breasts. Dr. Kaveh Alizadeh: If you are done with your pregnancy then you know you want to have, you know you want to be able to return to the original shape. The best probably, a way to pursue would be to their breast lift. And some of the newer techniques in breast lifts actually use a minimal incision to be able to just be able to lift the nipple-areola complex without really putting more scar, which is a traditional method that require a lot of scars, they are putting a scar underneath the breast and one coming straight down to be able to minimize some of that. Female Speaker: Dr. Alizadeh uses a technique he calls the internal bra. Dr. Kaveh Alizadeh: We use the lower pole of the skin, the tissue from the bottom portion of the skin and instead of throwing that out when we do a lift, we actually take it and we rotate it and put it inside and we sew it to the inside of the breast tissue. So, now in effect you have an internal bra that is supporting the breast tissue for as long as you live. The goal of this procedure is to make sure that our patients don't actually need to wear a bra after surgery and its support beautifully, and we've had great results for the past five years. Female Speaker: Doctors are also researching something called a fat grafting. Dr. Kaveh Alizadeh: So, we've been looking at how do we actually take fat and inject it in very small amounts to be able to provide a better contour to the breast and to the breast that's been deflated either from pregnancy or weight loss to be able to return their shape and contour to the breast. Female Speaker: But in the end no matter how nursing affects your breasts, it's all for a good cause.