There is still some question about whether it is safe to breast-feed if you have silicone breast implants, but there is no conclusive evidence that infants are harmed. The surgery for breast implants usually does not interfere with milk ducts or the nipples unless the incision was made around the edge of the areola. This surgery should not prevent successful nursing.
Plastic surgery to reduce the size of breasts may interfere with breastfeeding, especially if the nipples were transplanted. If you have had plastic surgery on your breasts, it may be that the only way to find out whether or not you can productively breast-feed is by trying.
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