I'd like to know if any other LCs out there have heard of this situation which
a client of mine has described to me:

Mom had augmentation surgery which was very complicated and involved areolar
incisions on both breasts.  During augmenation, it was discovered she had a
breast lump above one nipple, and this was biopsied at the same time the
surgery was taking place.

Mom had her first baby 10 weeks ago, and baby weighed 7-13. Mom, consious of
the potential problems with her supply, noticed milk dribbling from baby's
mouth at feedings, and a seemingly good milk supply. Baby also was gaining
weight - at one month of age, baby weighed 8-8.  At 6 weeks of age, baby
weighed 9-4.  Then suddenly, at 9 weeks of age, baby was BACK TO BIRTH
WEIGHT!!

 On baby's 8'th week, Mom began to notice that her MER was impaired, with no
MER sensation for 10 minutes into the feeding. She began to feel milk
collecting in her areola, but no release of milk was occuring. Baby began
seeming hungry after all nursing sessions.  Mom began pumping like crazy
during this last week to regain her milk supply, but has been depressed to
find she cannot pump a thing.

Mom has been told by the local hospital LC, her pediatrician, and other
persons that the augmentation should not have an impact on her supply, that
the insufficient milk is being caused by something else, i.e. her emotional
state.  I think the augmentation definitely has something to do with it
because the cutting took place around the nipple!  I think this should remind
us to always ask "where was the incision made", even if it is an augmentation.
My question though, is:

Why has it taken so long for this mom's milk supply to become disrupted by the
surgery?  Why did things start out so well, and then end up so bad? Has anyone
ever seen this phenomenon?

Well, if anyone out there can respond, this mom  will appreciate it very much.

Thanks bunches,
Brenda Phipps, BS, IBCLC