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[Successful breastfeeding after reduction mammaplasty]
P M Witte1, B van der Lei, J J van der Biezen
1Medisch Centrum Leeuwarden, afd. Plastische, Reconstructieve en Handchirurgie, Postbus 888, 8901 BR Leeuwarden.
Objective:
To determine if it is possible to successfully breastfeed after reduction mammaplasty with intact continuity between papilla and glandular tissue.
Design:
Retrospective by use of a written questionnaire.
Method:
Between 1986 and 2000, 994 women under the age of 35 underwent a reduction mammaplasty at the Medical Centre in Leeuwarden, The Netherlands. They were all sent a questionnaire of which 585 were completed correctly and returned.
Results:
Of the 585 women, 215 had had one or more children and 90 had started breastfeeding, 57 of whom were successful (63%). In non-operated women this figure is 69%. The advice to try to breastfeed was associated with a higher percentage of success than the advice not to try--78% and 42% respectively.
Conclusion:
It appears to be justified to encourage women who have had a breast reduction to attempt to breastfeed after the birth of a child.
