Evan,
The study you cite was an informal one by Marianne Neifert, MD. She 
found that the mothers IN HER PRACTICE who had had breast surgery of any 
kind were 3x more likely to have reduced milk production.

I agree with Diana that if a mom has implants because her breasts are 
hypoplastic, there will likely be problems with supply. Many implants go 
into completely normal breasts, unfortunately. Problems with implants 
include capsular contracture and other pressure injuries to the breast. 
I've found that moms with implants need to be vigilant to avoid 
engorgement, but otherwise if they have normal breasts to begin with, 
tend to do well.

Periareolar incisions may interrupt the sensory nerve that causes the 
milk ejection reflex when the baby sucks. Obviously this is a risk 
factor for severe engorgement and rapid reduction in milk production.

Catherine Watson Genna, IBCLC  NYC

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