Redux can cause  scar tissue and calcium deposits in the breast tissue--
all surgeons are not the same and some are more kind to the tissue than
others and some women heal better than others.  I think that an abscess
could actually wall off and cause that much pain.  Not good ---abscess can
sneak up like that. I think that she should be seen by her plastic surgeon
as should all redux lactating women when they have complaint and let them
have an opinion .  Have the LC go with the woman. The  more the plastic
surgeons  see of their  afterwork the more careful they might be or offer
more straightforward the counseling before the surgery ..  Redux surgery is
very income producing surgery and most all customers are satisfied  and
relieved ,so it is done without a lot REAL thought for the future for the
childbearing woman.  How much time between the surgery and the pregnancy?
Was it an intended pregnancy?
Have you ever seen the swimming pool of the plastic surgeon in Houston, TX
that is in the shape of the perfect female breast ?  The diving board is at
the nipple.  It was featured in a Houston focused magazine a while back-- an
Ariel shot.   Just another indicator that not all surgeons are the same.
Beadie Cambardella RN IBCLC
Atlanta, GA


-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
Date: Tuesday, February 15, 2000 7:32 AM
Subject: More pain...


>Dear Group,
>
>One of my students asked me to post this for her.  She is having a great
deal
>of difficulty getting onto Lactnet -- not sure why.... If you respond,
please
>respond on list and directly to Cherie.  Thanks so much!
>
>Jan Barger
>
>Hello-
>I am a college nutrition instructor and in-training with BSC for their
>Lactation Consultant progam. The home birth midwilfe that I am working with
>to get my hours and experience has a client
>that had breast reduction surgery 3 years ago that caused much scar tissue
>and
>although her one week old baby seems to be getting enough milk and mom is
>producing
>plenty of milk, mom is in GREAT pain. It is her 4th baby and she had no
pain
>on her first 3 which were before the breast surgery. I feel like there
could
>be many reasons for her pain that may or may not be associated with the
>breast augmentation.  The mom had a large areola before the surgery and now
>it is quite smaller, but her nipple is very large and the baby has a little
>difficulty, but manages to take in enough breast for an effective latch.
Her
>pain is  severe and is only felt during feeding and in the scar tissue
area.
>Has anyone out there had any expereince working with a similar situation?
Is
>it possible that the breast reduction in the areolar region caused any
>lactiferous sinus to be in a non-areolar region now? I am wondering if this
>is something specific to the surgery itself and independent to typical
>engorgement/plugged duct/etc. Any help would be greatly appreciated.
>
>Thanks,
>
>Cherie Moore, M.S.  ([log in to unmask])
>Cuesta College Nutrition Instructor
>SLO, California (raining cats and dogs right now!)
>

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