I agree with Barbara'a post.  I had a client last week who had implant
surgery 10 years ago.  Instead of the implant being inserted under the
breast, the surgeon made a (large!) incision around the areola.
Although the mother was able to produce milk, she was not able to
release much to the baby who was frustrated and hungry.  The areolar
area was very "thick" from scar tissue which made it difficult for the
baby to latch as well.    The worst part was trying to treat the
engorgement since hand expression and pumping were not effective.  The
poor mother was very angry at her surgeon as he promised her she would
be able to breastfeed after surgery.

Susan Nachman-Srebrnik, IBCLC

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