I would assume that a woman who had enough assymetry to seek a unilateral
reduction had hypolasia of the smaller breast.

If you have ever watched liposuction, it is a very crude procedure.  The fat
is basically vacuumed out as the probe is rammed around.  It would not
surprise me that most of the functional tissue would be destroyed.  So a mom
with unilateral reduction (especially by liposuction!!) would be at
increased risk of lactation failure, because the untouched breast is likely
hypoplastic. I might hope that subsequent babies might do a bit better...the
human body is an amazing thing.

As for what to tell a mom who has had liposuction and not tried to lactate
yet, I would tell her there is no way to know what will happen, but would
have her baby weighed very frequently in the early days, and supplement as
needed.

Kathy Leeper, MD, IBCLC
Medical Director, MilkWorks
Lincoln, NE

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