Does anyone have experience with a mom who has scarring on her breasts from severe burns as a child? Saw a mom today (PTP) who is currently pumping and bottle feeding (with some formula as supplement) due to numerous issues (mom has low milk supply, PCOS, had C-section under GA, and baby has a PTT and lip-tie!). 
One of the main issues for this mom however is the fact that it is painful for her to pump, so pumping frequency is lower than it should be. She had second and third degree burns from head to waist as a child due to an accident involving a pot of boiling water. There is visible scarring/skin changes on both areolas. When pumping with Medela symphony, even with low vacuum, mom is having pain which is mainly localized to the tips of both nipples, and her nipples are white with obvious vasospasm after pumping. Her nipples appear to be very inelastic and they do not expand with pumping. She has tried different flange sizes with no improvement. I suspect that there has been damage to the tissue from the burns she suffered as a child and that is what is causing the pain. Thoughts? Has anyone else seen something similar? What was the outcome?

Warmly,
Fleur Bickford BSc., RN, IBCLC
Ontario, Canada

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