I also recently saw a mom who had her nipples removed and areolae
reshaped before they were sewn back on. Don't remember how many years
ago, but not many. I saw her when baby was 3 days old and hardly
transferring anything. She did not have engorgement or breast fullness
at all. I was very pessimistic (but did not tell her that). We did
Domperidone and fenugreek and lots of pumping plus formula
supplementation as needed. It was about 4 weeks until she had a full
supply!! I am amazed...I do not understand how this can happen. And
why did she not get engorged in areas that presumably no longer
communicated with the outside world???
She is the first I have seen with a full supply...but there were no
"ectopic pores".
Kathy Leeper, MD, IBCLC
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