Nikki,
Interesting that you report extensive recanalization, including milk
leaking from pores on the areola in the mom with reduction mammaplasty
14 years ago.  I had a mom with free nipple grafts (the most destructive
form of reduction) 25 years ago, who made all he needed less 4 oz a day
at her baby's peak intake.  If she had gotten a better start, like your
client, I bet she would have done even better.  She also had extensive
"ectopic milk pores" on her areola, and we took advantage of this by
latching the baby so his tongue covered as many of them as possible.
Bet these could be signs of extensive recanalization in the breast.
I've seen poorer results from moms who do not have these ectopic pores.

Anyone else see this phenomena, or do we have an n of 2 here?

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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