Hi Karleen,
While there is no research on milk production after breast reduction, I 
have seen many, many mothers who have breastfed after reduction in my 
practice. I can count on one hand those who made all the milk their baby 
needed with their first baby (results are generally better for 
subsequent pregnancies). A significant fraction (perhaps a third) made 
only drops despite working very hard feeding with a tube-supplementer 
device and expressing milk for weeks or months.
Several mothers who had other types of breast surgery such as mastopexy 
(breast lift) did make sufficient milk after a little initial struggle.
Most moms with implants (breast augmentation) in my practice have made 
enough milk, though they are vulnerable to engorgement, because the 
implant is not as pliant as normal fat tissue.
Catherine Watson Genna, IBCLC  NYC

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