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Nursing Baby After Breast Surgery
The Effects of Cosmetic Breast Surgery on Breastfeeding
By Carma Haley
However, a peri-areolar breast augmentation is a different story. With this type of incision, the cut is made at the border of the areola and the surrounding breast skin. The lower breast ducts are cut during the surgery. "When breast implants are placed through the peri-areolar incision, there is an increased chance of decreasing the milk supply or damaging the nerves so severely that breastfeeding cannot succeed," says Ann Calandro, a lactation consultant and registered nurse from South Carolina.
Breast reduction is a procedure that reduces the size of a woman's breasts. This procedure is commonly recommended for women with extremely large breasts, which can cause back, shoulder or neck pain as well as posture problems. Breast reduction involves taking away tissue from the breast to offer a smaller, more proportioned and comfortable size for the woman. However, due to a reduction in tissue, the procedure may interfere with a woman's ability to breastfeed.
There are two variations of the breast reduction procedure. The standard involves separating all glandular tissue from the overlying skin. By removing a portion of the tissue, the size of the breast is reduced. The remaining tissue is then repositioned and the outer skin replaced. Breastfeeding ability may be reduced with this procedure.
"While this maintains the communication of the glands in the breast tissue with the ducts in the nipple, it reduces the overall number of glands and there may not be enough left afterwards to produce enough milk to effectively breastfeed," Dr. Brandt says.
The second technique is used in the event of unusually arge breasts. In this procedure the nipple and areolar area is removed completely. The breast tissue is reduced and the nipple and areolar area is then reattached as a free skin graft. "This procedure results in the severance of all glandular ducts," Dr. Brandt says.
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