This doesn't sound like an augmentation, more like a breast reduction or
a breast lift.  Augmentations usually involve insertion of a saline or
silicone implant through the areola, belly button, armpit or incision
under the breast in the mammary fold. These are more fraught with
issues, but it "might" be that the nipple was only incised at the areola
and lifted from the tissue leaving the ducts attached.  The only way you
can know for sure is to see the operative report from the surgery. 

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Vicky York
Sent: Thursday, May 01, 2008 11:49 AM
Subject: Re: lactation after augmentation

I am working with a mom who had an augmentation 7 years ago. By day 6
she pumped 3 hours after a feeding and got 3 ounces of milk, which was
just right for her 8lb baby. I've kept contact with her and she seems to
be doing great, the baby has more than 8 wets a day and way more than 4
poops a day. She had the type of surgery in which the nipples were
completely removed and resewn, tissue was cut out and an implant was
inserted. I assume that 7 years was long enough for nerves to grow back
to send messages to the pituitary gland and somehow enough ducts are
opening to the nipple. She nursed another baby 16 years ago for 2 years.
I'm wondering how often you ladies actually see women with augmentation
with this kind of success.
She does have some overall soreness on the whole breast (one a little
more than the other)and is working on the latch to cure the cracked and
sore nipples. I've advised her to wean off the codeine and substitute it
for ibuprofen, it's been 10 days now. (C-section) Have you seen that a
mom with an augmentation can have enough milk in the beginning and not
be able to keep up with supply? Most of my experience is with moms who
can only make a small amount of milk and have to supplement with
artificial baby milk from the beginning.

Vick York, IBCLC, CPD
Postpartum Care Services
Portland, OR

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