Hi Celine and all, I have had amazing breast reduction clients, who have taught me everything I know about the topic, which is how things usually work!!! Reading about the asymmetry to begin with would usually give warning signs. What is good here, is that she was able to produce a few ounces with pumping. This would tell me that she should be able to provide adequate supply for the first few weeks, I would wager. It is really important that she know that it is imperitive for her to follow the baby's cues, with no invtervention such as dummies, bottles, etc.... and as this isn't a first baby this isn't as easy to do for her with another little one at home. With adequate and close followup, baby's weights and output checked, this should build her confidence that she can do this. If all the vitals signs are good, then she can proceed until the time where things MIGHT change. With reductions, I have found that the lack of confidence is the key here. She actually has one breast which was not operated on. And if she produced milk there in the past, there is no reason that she might not be able to breastfeed exclusively. I have had two cases of bilateral breast reductions that breastfed exclusively well into the second year and still going strong!!! Close attention to weight gain and output and overall well-being of baby. Good luck!! Ellen Shein, IBCLC, LLLI Tel aviv *********************************************** 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]