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Date: | Thu, 20 Sep 2007 20:31:37 -0700 |
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I want to pick up on the last thing mentioned here:
"Periareolar incisions may interrupt the sensory nerve
that causes the milk ejection reflex when the baby
sucks. Obviously this is a risk factor for severe
engorgement and rapid reduction in milk production."
I have seen several women in the past few months with
periareolar incisions. When I discussed possible
problems they might encounter (along the lines of the
issue Catherine raised) they assured me that their
surgeon told them they would have no problem
breastfeeding with a periareolar incision. One women
specifically told me that her surgeon assured her that
the nerves and the milk ducts would not be disturbed
because he would be making a very shallow incision in
order to slip the implant in over the muscle.
I am just wondering if anyone here has encountered
cases like this? Even if plastic surgeons have
improved their methods to include a very shallow
periareolar incision, I am wondering how this could
have no effect on breastfeeding, as these women have
been told. Anyone have any insights on this?
Judie Gibel
Miami Florida
> Date: Thu, 20 Sep 2007 21:34:36 -0400
> From: "Catherine Watson Genna, IBCLC"
> <[log in to unmask]>
> Subject: Re: Breast Augmentation and Lactation
>
> Evan,
> The study you cite was an informal one by Marianne
> Neifert, MD. She
> found that the mothers IN HER PRACTICE who had had
> breast surgery of any
> kind were 3x more likely to have reduced milk
> production.
>
> I agree with Diana that if a mom has implants
> because her breasts are
> hypoplastic, there will likely be problems with
> supply. Many implants go
> into completely normal breasts, unfortunately.
> Problems with implants
> include capsular contracture and other pressure
> injuries to the breast.
> I've found that moms with implants need to be
> vigilant to avoid
> engorgement, but otherwise if they have normal
> breasts to begin with,
> tend to do well.
>
> Periareolar incisions may interrupt the sensory
> nerve that causes the
> milk ejection reflex when the baby sucks. Obviously
> this is a risk
> factor for severe engorgement and rapid reduction in
> milk production.
>
> Catherine Watson Genna, IBCLC NYC
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