Every reduction I have seen involves the removal of the nipple and reattachment. I would be shocked if they allow suckling on the reattached nipple.
 If they are able to do a reduction without the removal of the nipple it could be possible. However, the resulting reduction would probably not be as aesthetically pleasing. I wish her the best in such a tough situation. 

Donna Goggin-Dolwick, RN, BSN, IBCLC
Michigan, USA

Sent from my iPhone

> 
>             **********************************************situation.
> 
> 
> -----Original Message-----
> From: Lactation Information and Discussion <[log in to unmask]> On Behalf Of Laura L ópez Fuentes
> Sent: Tuesday, April 9, 2024 11:36 PM
> To: [log in to unmask]
> Subject: Breast reduction surgery during breastfeeding
> 
> Hello all of you from Spain,
> 
> First of all, sorry about my English.
> 
> I want to ask you about your experience with breast reduction surgery during breastfeeding.
> 
> A breastfeeding mother had breast cancer and a total mastectomy on her right breast. She has an expander in her right breast now.
> 
> She is now having the final implant placed in her right breast and her surgeon has proposed reduction surgery on her left breast to make them more symmetrical.  Her left breast is larger than the breast size she will have with the implant in her right breast. That is why the surgeon, and the woman as well, wants to do the reduction surgery on the left breast.
> 
> The woman is breastfeeding her 17-month-old baby from the left breast and does not want to stop breastfeeding now. 
> Surgeon proposes surgery for May.
> She is going to ask to have it delayed so that she has more time to find out about other options or to wean more quietly.
> 
> For insurance reasons the woman cannot postpone the surgery on the left breast and has to have both surgeries (left and right breasts) done at the same time.
> 
> Do you have experience with breast reduction surgery during breastfeeding?
> If it is possible doing this kind of surgery during breastfeeding, which kind of surgery technic is better for breastfeeding?
> 
> I know it's a difficult situation and may be the answer is "it's impossible" but I need to know all the possibilities.
> 
> Thanks in advance.
> 
> Best regards,
> 
> Un saludo,
> 
> Laura López Fuentes
> IBCLC L-300239
> MATERNANZA, lactancia materna
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