To the Editor.—

More than 200 000 breast implant augmentation procedures have been performed annually in the United States in recent years, most on teenagers and young women of reproductive age. As a result, many nursing mothers have breast implants—all composed at least in part of silicone.

The American Academy of Pediatrics (AAP) recent policy statement on silicone breast implants and breastfeeding concluded that the “Committee on Drugs does not feel that the evidence currently justifies classifying silicone implants as a contraindication to breastfeeding.” We agree that there is a lack of data to contraindicate breastfeeding by women with breast implants, but there are also no convincing data proving it is safe. The available studies have too many methodologic shortcomings, and this problem is apparent in the 3 reports cited by the policy statement as evidence supporting the safety of breastfeeding by mothers with breast implants.3...

You do not currently have access to this content.