When considering a breast reduction, some of you will be concerned about your ability to breastfeed afterwards. This is a legitimate concern, and for some of you, the risk will be too much. There are, however, some key ideas to consider, in particular the tumescent liposuction technique that spares your glandular tissue.
If your breasts are very large, lactating and breastfeeding are not going to make your issues go away, but will compound them. It’s possible that having a liposuction breast reduction before you become pregnant may be the right way to go. It’s entirely your choice which way you decide to go, so get good advice from your surgeon.
Breast-reduction liposuction: impact on breast tissue
Using the tumescent liposuction technique for breast-reduction means glandular breast tissue – the tissue that produces milk – is completely spared. There is minimal trauma to this glandular tissue, with any inflammation and swelling resolving itself naturally as you heal over the months post-surgery.
Mammograms taken after breast-reduction liposuction show a normal breast, so there is no reason to expect issues with breastfeeding.
This is not, however, the case with traditional breast reduction techniques using invasive surgery, which typically sever and/or block milk ducts with scarring.
Milk production and breastfeeding after breast liposuction
We expect that a woman who becomes pregnant after the tumescent liposuction technique for a breast reduction will be able to breastfeed. Naturally getting pregnant very soon after (within months of) the procedure would result in breast changes, so this would not be advisable.
The amount of fat in your breasts does not affect your ability to breastfeed successfully.
Surgical breast reductions and scarring
When a surgeon does a surgical breast reduction, scalpels are used to cut out large portions of breast tissue, with damage to glands and ducts usually unavoidable in the process. Scar tissue forms, blocking ducts that may have survived intact, and milk production is therefore halted or impeded, making breastfeeding impossible.