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!) *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html