I am looking for information regarding nipple surgery to correct inverted nipples. I am hoping to help a client find some answers before she tosses in the towel. History: Primip mom who had augmentation surgery in 1991 She also had surgery to correct inverted nipples in 1991 The surgeon states that he clipped a "band" to release the nipple and then placed a suture to hold the nipple in place. The left side worked. She had the right side repeated within 6mos. The second surgery corrected the "problem". She bf her baby well in the hospital, was discharged at 48hrs. Milk came in on day 3-4. Baby began to refuse the right side, mom thought because she was so full on that side. so continued to bf on the left side - baby seemed content, was wetting and stooling. Mom decided to rent a db pump to ease the engorgement on the right side. After 3-4 sessions and not getting any results, she stopped pumping. She called on day 6 with c/o severe engorgement. On exam, she was sl engorged on R side, able to pump 2oz after feeding baby 10min. L side severly engorged - heat, massage and pump with no results. I was able to hand express one drop - which came from the upper outer aerola. Sent her home to continue to pump right side each time she fed on the left - cont with heat , massage, pump and then cabbage leaves and ice post pump. Day 7 on exam engorgement improved although mom never able to actually see any milk expressed. My question: how long does she continue to pump on the right side in hopes of getting some milk??? she realizes she can just feed one side and baby will grow just fine. The surgeon is saying to throw in the towel now probably because there is too much scar tissue from the repeat procedure. Any information would be helpful! Thank you !! Kelli Raibick, RN, IBCLC Dallas,TX (relocated from good ole VT)