The impact of breast reduction surgery on lactation is significant and multifaceted:

1. Loss of glandular tissue – The removal of milk-producing tissue directly reduces a woman’s ability to make milk. Think about it, this tissue is our milk makers, you remove it or tamper with it, it’s gone. Some may remain which may result in some milk.

2. Disruption of ducts – Repositioning of the nipple often severs the delicate network of ducts responsible for transporting milk. Think about it - Imagine a very large breast, remove a bunch of tissue and then look at the nipple, where is it? Probably quite low and needs to be cut off and re-sewn back on in a new location. Behind that nipple is nerves and ducts that are the transport system for the milk through the nipple. Some may regrow over time but you still may not receive a full supply.

3. Reduced nipple sensation – Nerve damage diminishes sensation, which is crucial for triggering the oxytocin response needed for milk ejection. Baby comes to the breast, they stimulate the nipple which stimulates oxytocin response in Mums brain, that is the hormone responsible for the let down of milk. No oxytocin, no milk.

4. Infant risk – Babies may fail to gain weight, with plummeting newborn weight posing a serious health risk—especially when mothers are led to believe there will be no problems. No milk, no weight gain.