My experience in Puerto Rico is mostly Breast reduction rather than breast augmentation - often done in their teens when breastfeeding was not considered. One of the plastic surgeons has been telling his patients that they can breastfeed for a week or so, but not to continue or it will ruin the surgery! (Why not tell her not to get pregnant - the engorgement following delivery would surely be the biggest problem, don't you think?) Pat is right - these women have a great deal of emotional issues related to their breasts - and in the case of many of the reductions I have seen, are very self-conscious about their scars, etc. We need to tred carefully as they're also in very erratic emotional turmoil (as we usually are postpartum) and then trying to deal with these other concerns. Jeanette Panchula, BSW, LLLL, IBCLC, RN Puerto Rico (I have water now!) [log in to unmask]