Alena,
There is information in the archives, look for BFAR (Breastfeeding after
reduction).

Any surgery triples the risk that a woman will have insufficient milk
supply.  Many of the studies done on reductions are talking about
ability to lactate at all, not about ability to make an abundant milk
supply.  Some women who have had reductions are able to make enough milk
for their infants, some are able to make only drops.  It depends on how
carefully the surgery was done, and how much glandular tissue was
spared, and how much recanalization occured during pregnancy.

I have even seen one mom who had free nipple grafts (the entire
nipple/areola removed from the breast and then sewn back on) who was
ultimately able to make almost all the milk her infant needed.  It took
a tremendous amount of work building her supply gradually, using a
Lact-aid and domperidone.  I have seen other mothers whose surgeons
promised them they would be able to breastfeed make only drops of milk,
despite working diligently.

It is certainly worth trying to bf after a reduction, but moms should be
prepared to recognize if their infants are not immediately thriving, and
have a good IBCLC to see if there are any issues.
Catherine Watson Genna, BS, IBCLC   NYC

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