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Can You Breastfeed After Nipple Reduction Surgery?

May 23rd 2022 Dr. Inzhili Kitto

Nipple reductions are considered a cosmetic procedure to decrease the size and protrusion of your nipples. For women, this surgery has the risk of limiting their ability to breastfeed. In this blog, Kitto Plastic Surgery—a plastic surgeon that performs nipple reduction surgery in Richmond VA—discusses the risks and benefits of having this procedure.

Nipple Reduction Surgery

What happens during nipple reduction surgery?

A nipple reduction surgery is an in-office procedure that creates the appearance of smaller nipples. For some women, breastfeeding, pregnancy, and breast trauma can lead to enlarged nipples. This enlargement can lead to poor self-confidence. Women who experience self-esteem issues due to the appearance of their nipples may benefit from a nipple reduction. A nipple reduction can also be paired with an areola reduction surgery to create the appearance of smaller nipples and areolas. 

During the nipple reduction surgery, the surgeon will remove excess nipple tissue and bring together the remaining tissue. This can decrease the circumference of your nipple and areola. Similarly, if you are more concerned about the protrusion of your nipple, a surgeon can make an incision at the base of the nipple, remove excess tissue, and attach the remaining tissue to the base.

Nipple Reduction Surgery Cost

Another important consideration is the cost of a nipple reduction surgery. Because a nipple reduction is considered an aesthetic surgery, insurance companies will not pay. According to Cost Helper Health, women seeking out this procedure can expect to pay between $2000-$5000 out of pocket. The nipple reduction surgery cost can dissuade many women from seeking out the procedure, so it is essential you understand the cost prior to receiving it.

Nipple Reduction Surgery Cost

Can a nipple reduction affect breastfeeding ability?

The question of whether a woman can breastfeed after a nipple reduction often overlaps with a common concern many mothers ask: can you breastfeed after a breast reduction, and does the type of procedure affect the outcome?

For example, in many breast reduction and breastfeeding cases, women also undergo a nipple reduction as part of the procedure. With a breast reduction, there is more extensive damage to the breast tissue and milk ducts, which can result in an inability to breastfeed. Similarly, women who have a nipple reduction due to breast cancer may not be able to breastfeed due to damage in the milk ducts from cancer.

However, on the other side, after a simple nipple reduction, most women are still able to breastfeed their children, and their experience is often much easier compared to women facing challenges with breastfeeding after breast reduction surgery. There are still risks associated with the amount of milk you produce, but those risks can be minimized if you take the proper precautions.

Can You Breastfeed After a Breast Reduction?

Yes, you can breastfeed after a breast reduction, but success depends on the surgical technique used and how much breast tissue and milk ducts were preserved. 

Some women may experience challenges with milk supply, while others are able to breastfeed without issues. Working with a lactation consultant and giving your body time to heal after surgery can improve outcomes.

Breastfeeding After A Nipple Reduction

Just like you wouldn’t go run a mile after a knee replacement surgery, surgeons recommend women wait 3 years after their surgery to become pregnant. This waiting period allows any damaged breast tissue and milk ducts to recover and heal completely. That is why women who are pregnant or want to become pregnant in the near future, should wait to have a nipple reduction. 

If you become pregnant after a nipple reduction, it is essential that you inform your healthcare provider of your medical history. They can set you up with a lactation consultant that can help you should you have milk supply issues. Some women have trouble producing enough milk after a nipple reduction, but there are many supplemental nursing options that can help. In addition, latching, the position of the baby, improper techniques, and lack of support can also lead to breastfeeding issues. 

In order to produce the most milk, you should:

  • Seek out as much skin-to-skin contact as possible
  • Nurse as soon as possible and frequently (every 2-3 hours)
  • Pump or manually express milk after feedings
  • Practice switch nursing (having the baby feed off of both breasts at every feeding)
  • Seek out a lactation consultant

Nipple Reduction Surgery in Richmond, VA

The best way to limit breastfeeding issues after a nipple reduction surgery and even improve outcomes for women concerned about breastfeeding after breast reduction, is to seek out a board-certified surgeon to perform the procedure.

If you live in the Richmond, VA area Dr. Kitto from Kitto Plastic Surgery is a board-certified surgeon with nipple reduction experience. Dr. Kitto understands the concerns and anxieties you may have about a nipple reduction, and she does her best to explain the risks and keep you at ease. Discover a more confident version of yourself. 

Call Kitto Plastic Surgery at 804-294-1777 or go online, to schedule a nipple reduction consultation today.

Frequently Asked Questions 

Can you breastfeed after a breast reduction?

In many cases, yes. The ability to breastfeed after a breast reduction depends on how much breast tissue, nerves, and milk ducts were preserved during surgery. Some women can breastfeed without major issues, while others may have a reduced milk supply.

What should I know about breastfeeding after breast reduction?

Breastfeeding after breast reduction can present challenges such as low milk production or difficulty with latching. Working with a lactation consultant and using techniques like frequent nursing and pumping can improve outcomes.

Does breast reduction and breast feeding always lead to problems?

Not always. Many women successfully breastfeed after breast reduction surgery. The risks are higher if a large amount of tissue was removed or if milk ducts were damaged, but success rates vary from person to person.

How soon after breast reduction can I get pregnant and breastfeed?

Surgeons typically recommend waiting at least 2–3 years after surgery before becoming pregnant. This allows the breast tissue and milk ducts to fully heal, improving your chances of successful breastfeeding.

What surgical techniques affect breastfeeding after breast reduction the most?

Techniques that preserve the nipple-areola complex and leave milk ducts intact have the highest success rates. Procedures that completely detach the nipple are more likely to cause difficulties with breastfeeding.

Will every woman have a low milk supply after breast reduction surgery?

No, not every woman. Some women can exclusively breastfeed, while others may need to supplement with formula or expressed breast milk. The outcome depends on the individual’s anatomy and the extent of surgery.

Can you increase milk supply if you’ve had a breast reduction?

Yes. Frequent nursing, skin-to-skin contact, pumping after feeds, and working with a lactation consultant can all help maximize milk supply. In some cases, medications or supplements may also be recommended by a doctor.

Is breastfeeding after breast reduction safe for the baby?

Yes. Even if milk supply is limited, breastfeeding is safe for the baby. Partial breastfeeding still provides important nutrients and immune protection, and supplementing can ensure the baby receives enough nutrition.

What support should I seek if I struggle with breast reduction and breast feeding?

Women should talk to their healthcare provider and connect with a lactation consultant early. Support groups for new mothers and access to supplemental nursing systems can also help.

Does nipple reduction during breast reduction make breastfeeding harder?

In some cases, yes. If milk ducts or nerves in the nipple are damaged, breastfeeding may be more difficult. However, many women with nipple reduction are still able to successfully breastfeed, especially if the procedure was less invasive.

Dr. Inzhili Kitto

Plastic and Reconstructive Surgeon

Dr. Kitto is a BOARD-CERTIFIED plastic surgeon and an active member of the American Society of Plastic Surgeons, as well as a Fellow of the American College of Surgeons. She has undergone specialized training in Oculoplastic Surgery and Facial Aesthetic Surgery and practices in Richmond, VA.

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