Let me clarify my listing of "tubular-shaped breasts" as being a possible sign of insufficient tissue lest I be misunderstood! My ears perk up if the mom tells me (as I had in one case) that her breasts were remarkably different than her sister or mother's who were "rounded in shape" as she put it. Her breasts were long, wide-set, and any 'let-down" sensation she had, as she described it, was a slight pulling underneath her armpits. She had never experienced leaking or breast fullness. As she put it, "I would love to feel engorged!" This particular mom is also on Synthroid 0.5mg qd for chronic hypothyroidism. She produced virtually no milk with her first pregnancy, and is producing some (subjective, I know) with this baby, now 9 days old. Anyway, she has been most interesting to work with. As far as breast shapes go, I wholeheartedly agree you can't judge a book by it's cover! However, it sometimes can be part of the bigger picture. Thanks for the great reparte'! Sandey Arrowsmith RN,IBCLC Atlanta "HUMAN BABIES< HUMAN MILK" PS: kga: remember me from Birmingham last March? Sure was fun hanging with you guys!