I want to pick up on the last thing mentioned here:

"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."

I have seen several women in the past few months with
periareolar incisions. When I discussed possible
problems they might encounter  (along the lines of the
issue Catherine raised) they assured me that their
surgeon told them they would have no problem
breastfeeding with a periareolar incision. One women
specifically told me that her surgeon assured her that
the nerves and the milk ducts would not be disturbed
because he would be making a very shallow incision in
order to slip the implant in over the muscle.

I am just wondering if anyone here has encountered
cases like this? Even if plastic surgeons have
improved their methods to include a very shallow
periareolar incision, I am wondering how this could
have no effect on breastfeeding, as these women have
been told. Anyone have any insights on this?

Judie Gibel
Miami Florida

> Date:    Thu, 20 Sep 2007 21:34:36 -0400
> From:    "Catherine Watson Genna, IBCLC"
> <[log in to unmask]>
> Subject: Re: Breast Augmentation and Lactation
> 
> 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



      ____________________________________________________________________________________
Shape Yahoo! in your own image.  Join our Network Research Panel today!   http://surveylink.yahoo.com/gmrs/yahoo_panel_invite.asp?a=7 

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]