Erin, You have asked many thought provoking questions, without straightforward answers! As you know, For the past 12 or so years, only saline implants have been available, so most women now have saline (I know they still have a silicone coating). A detailed history as to WHY the mother has implants is very important. She may have had little to no mammary development (which could explain no or low milk supply not related to the implants) despite excellent management. Also, I have worked with former models that actually have 2 implants per breast for fullnes. They have a great milk supply, but repeated bouts of mastitis (breast infections) have them wean quickly. There is no where for the milk to go! The implants are in the way. I have personally seen what you found in the literature as far as where the incisions are placed-moms with aereola incisions often have more difficulty. They are more sensitive to latch and their nipples tend to be flatter, making it more difficult for the baby to latch from the beginning. I have read the conclusive studies that state the amount of silicone a baby will receive with breasfeeding from a mom with implants is well worth the benefits of breastmilk, and the amount the baby will receive is no more than any baby gets from his/her vaccines as all needles are coated with silicone as well as many infant "colic" drops contain silicone. I have been a board certified lactation consultant since 1990, and I feel very comfortable recommending a mom with implants breastfeed her baby. The esphogeal peristalsis info was not conclusive, and the AAP feels breastfeeding should be recommended. Hope this helps. Catherine Katz,RN,IBCLC,RLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html