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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Pediatrics. Consilium Medicum</journal-id><journal-title-group><journal-title xml:lang="en">Pediatrics. Consilium Medicum</journal-title><trans-title-group xml:lang="ru"><trans-title>Педиатрия. Consilium Medicum</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2658-6630</issn><issn publication-format="electronic">2658-6622</issn><publisher><publisher-name xml:lang="en">Consilium Medicum</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">687399</article-id><article-id pub-id-type="doi">10.26442/26586630.2025.2.203248</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">The impact of breast augmentation and breast reduction surgery on breastfeeding: a pediatrician's view. A review</article-title><trans-title-group xml:lang="ru"><trans-title>Влияние пластических операций по увеличению и уменьшению груди на грудное вскармливание: взгляд педиатра</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4200-4598</contrib-id><name-alternatives><name xml:lang="en"><surname>Zakharova</surname><given-names>Irina N.</given-names></name><name xml:lang="ru"><surname>Захарова</surname><given-names>Ирина Николаевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>D. Sci. (Med.), Prof.</p></bio><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. педиатрии им. акад. Г.Н. Сперанского, засл. врач РФ</p></bio><email>zakharova-rmapo@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2181-8138</contrib-id><name-alternatives><name xml:lang="en"><surname>Pupykina</surname><given-names>Viktoria V.</given-names></name><name xml:lang="ru"><surname>Пупыкина</surname><given-names>Виктория Викторовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Assistant</p></bio><bio xml:lang="ru"><p>ассистент каф. педиатрии им. акад. Г.Н. Сперанского </p></bio><email>zakharova-rmapo@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-2121-4010</contrib-id><name-alternatives><name xml:lang="en"><surname>Orobinskaya</surname><given-names>Yana V.</given-names></name><name xml:lang="ru"><surname>Оробинская</surname><given-names>Яна Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Assistant</p></bio><bio xml:lang="ru"><p>ассистент каф. педиатрии им. акад. Г.Н. Сперанского ФГБОУ ДПО РМАНПО, врач-педиатр поликлиники «Мама и малыш» ГБУЗ МО ХКБ</p></bio><email>zakharova-rmapo@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Russian Medical Academy of Continuous Professional Education</institution></aff><aff><institution xml:lang="ru">ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Khimki Clinical Hospital</institution></aff><aff><institution xml:lang="ru">ГБУЗ Московской области «Химкинская клиническая больница»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-07-14" publication-format="electronic"><day>14</day><month>07</month><year>2025</year></pub-date><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>120</fpage><lpage>124</lpage><history><date date-type="received" iso-8601-date="2025-07-13"><day>13</day><month>07</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-07-13"><day>13</day><month>07</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://pediatria.orscience.ru/2658-6630/article/view/687399">https://pediatria.orscience.ru/2658-6630/article/view/687399</self-uri><abstract xml:lang="en"><p>Plastic surgery to change breast size, both enlargement and reduction, are becoming more and more popular. At the same time, breastfeeding is recognized as an ideal food for a child and an important factor in the health and development of a child. Therefore, the issue of the impact of these operations on the possibility and effectiveness of breastfeeding is relevant and requires careful consideration. The article provides information on the influence of various factors on breastfeeding, such as the types of implants, the time elapsed after surgery, surgical access during surgery, the location of implants, the presence of complications during breast enlargement, the preservation of sensitivity of the nipple-alveolar complex, blood supply. Therefore, when making a decision to perform plastic surgery on the breast, it is necessary to be aware of all the associated risks, both short-term and long-term.</p></abstract><trans-abstract xml:lang="ru"><p>Пластические операции по изменению размера груди – как увеличение, так и уменьшение – сохраняют свою популярность. В то же время грудное вскармливание (ГВ) признано идеальной пищей для ребенка и важнейшим фактором его здоровья и развития. Поэтому вопрос о влиянии данных операций на возможность и эффективность ГВ является актуальным и требует внимательного рассмотрения. В статье представлены сведения о влиянии на ГВ различных факторов, таких как виды имплантов, время, прошедшее после операции, хирургический доступ при проведении операции, расположение имплантов, наличие осложнений при увеличении груди, сохранение чувствительности сосково-альвеолярного комплекса, кровоснабжения. Женщина и ее лечащий врач, принимая решение о проведении пластической операции на груди, должны учитывать сопутствующие риски, как краткосрочные, так и долгосрочные, среди которых – возможное затруднение или невозможность ГВ будущего ребенка.</p></trans-abstract><kwd-group xml:lang="en"><kwd>breast implants</kwd><kwd>plastic surgery</kwd><kwd>complications of plastic surgery</kwd><kwd>breastfeeding</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>грудные импланты</kwd><kwd>пластические операции</kwd><kwd>осложнения пластической хирургии</kwd><kwd>грудное вскармливание</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Грудное вскармливание. Режим доступа: https://www.who.int/ru/health-topics/breastfeeding#tab=tab_1 Ссылка активна на 30.10.2024 [Breastfeeding with implants. 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