Breastfeeding after Someone Else's Breast Reduction Surgery
A few days ago, I was flipping through a Weight Watchers magazine trying to see if the at least one of the "50+ Holiday Recipes" looked any good. The headline of a letter to the editor caught my eye. It read "All About Breasts". How could I resist reading it? Apparently last month Weight Watchers featured an article on breast reduction surgery called "Bosom Budies." Alas, I could not find it on-line. Fortunately, I did not need to read the article to understand the letter replying to it. The letter was from a pediatric nurse practitioner who stated that women who "may want to breast-feed should not consider breast reduction surgery." She claimed that she saw many mothers who are unable to breastfeed because they've had the surgery and indicated that she personally is devastated by it. Excuse me?
I'm appalled that this woman thinks it is all about her. I'm sorry she feels devastated by this. I notice that she doesn't say that the women who are unable to breastfeed are devastated by this. Not to pick on semantics, but I believe instead of saying that women shouldn't consider the surgery, because considering is not the same thing as doing, she means that women should carefully evaluate whether or not they want to have the surgery, if they plan on breastfeeding.
I believe many people are thinking about breastfeeding after breast reduction, because I have gotten a lot of hits from people using those search words recently. (Perhaps they read "Bosom Buddies" or "All About Breasts.") Despite what this particular woman might believe, the decision to have a breast reduction surgery is not like waking up one day and deciding to get highlights in your hair. I personally had the surgery because I was in extreme discomfort due to the size of my chest. I know many other women who had surgery for similar reasons. In my case, I was a competitive swimmer from childhood through college. I had to stop the running portion of my training halfway through high school because my back hurt so much. My neck hurt when I would bend over a desk or table to do my homework. I was in wonderful shape (I had to get my fat measured frequently while on the swim team) and overall had a small figure, but I had to buy large shirts for them to fit across my chest. I am slightly under 5" 4', but I was spilling out of a DD. Let me just stress again how much my back constantly hurt. Sometimes my shoulders would bleed from my bra straps cutting into them. Just thinking about it now makes my neck hurt.
After the surgery, I was able to run for a half hour every day with the swim team before our two hour swim practice. No matter how much weight I have put on with pregnancies or Thanksgiving festivities, I have never again had problems with bleeding shoulders or neck pain. (I did have back pain, but that's common with pregnant women regardless of whether or not they've previously had a large chest. The pain stopped with each boy's birth and did not come back with any holiday feast.)
When I decided to have the surgery, I was 19. I take that back. I made the decision when I was 13 and became physically and mentally uncomfortable with my size. It was a long 6 years until I actually had the opportunity to go through with the surgery. My parents wanted me to complete a year in college first to make sure that I was confident in my decision to have the surgery. I became confident that I wanted the surgery when I walked through the door of school in 7th grade. That confidence continued until I had the surgery. As upset as I ever got over my inability to breastfeed, I have never regretted my surgery. I'm sorry I couldn't breastfeed, but I'm not sorry I had the surgery. It was better than I had even thought it would be.
There are no guarantees in life. At 19 I couldn't guarantee that I would one day get married or have children. There is no guarantee that I would have been able to breastfeed even had I not had the surgery. Do I think that if it's important to a woman to breastfeed, than she shouldn't have the surgery? Absolutely. It's also solely her decision to make. It doesn't matter what I think. I resent being told what I should do. Breast reduction surgery is serious. In addition to including the common risks of going under anesthesia, the recovery is hard. While I do not know the current risks to having breast reduction surgery, I was warned of the following when I had the surgery:
I might have to have my nipples put on ice (this did not happen)
I might not be able to breastfeed
I might have significant scarring (I was fortunate in this one too. My scars are barely visible).
I might lose some feeling
I would have to wear a two cup sports bra (not the mono-boob kind) for 24 hours a day for 5 weeks
I wouldn't be able to lift anything heavy for a month
As I was telling a friend recently, I wanted this surgery so badly, that these things weren't a huge deal to me. When the surgeon had a cancellation and could perform the surgery a few weeks earlier, I jumped at the slot canceling a previously scheduled visit from my out-of-state boyfriend. (No, Big Giraffe, that doesn't count as a benefit to the surgery.) Obviously anyone considering breast reduction surgery should consult with a doctor regarding the current risks.
Of course I'm sure that there are women out there who regret their surgery. However, I don't regret it, and I know quite a few women who believe that the surgery changed their lives for the better. Empathy for women who are devastated by their inability to breastfeed is one thing. A personal sense of devastation on behalf of even women who are comfortable with the implications of their choice is misplaced. A stance that women should not even consider alternatives to years of physical pain and emotional discomfort is insulting.
A. Elliot's Lesson Learned: There are pros and cons that should all be considered carefully by anyone who may want to have breast reduction surgery.
I was 5'0" tall with size E boobs when I got my reduction. My parents were totally on board. I was 18 and did not want to go through college the same way I went through high school and middle school. The physical discomfort is one thing, but the emotional is quite another. Had I known what sexual harassment was when I was on the receiving end of it, I probably could have made a bundle.
Either way, I knew when I got it that breastfeeding would not be possible (and my scars are quite visible and probably always will be). At the age of 27 when my first child was born, I might have experienced a bit of wistfulness about not being able to breastfeed, but that was it.
I've NEVER regretted it. The last 13 years of my life would have been miserable. My kids are happy. THey are healthy.
I would have done the same thing had I been faced with the need. Nothing that you describe sounds bearable just to have the chance to breastfeed your baby years later.... bloody shoulders - NO WAY!
I personally have not had a drop of breastmilk in my system and I am perfectly healthy and happy. Proof in point, if you can breastfeed by all means, go ahead, if you can't, formula is perfect.
:-)
We get way too hung up on things being black and white. Nothing in life is black or white expect a zebra. All else is grey.
Great post Alex and I hope those who have had surgery and have been made to feel guilty about it by misguided nurses find your site and read this!
Very timely, thanks. I'm currently reading "Defining Your Own Success" which is a book dedicated to the idea of breastfeeding after reduction surgery ('cause duh, I had one, too). I'm experiencing just a tiny modicum of guilt, because I knew even when I had the surgery that I would want to breastfeed and that it would probably impair my ability to do so. But reading the book (and the fora at BFAR.org) have really hit home. My surgery was in 2000, and reading all the reasons women had the operation reminded me of the reasons I had mine, and those reasons were serious and numerous. I did the right thing for myself, and don't regret it. And I still intend to breastfeed, even if I have to supplement with formula. So PBTHTHTHTH to that nurse.
Professional Mom of two cats, a dog, an ant farm, and oh yeah...two boys: a 6 year old and a 3 year old. Also found in my house is my husband who is known on this blog as The Big Giraffe.
For those of us who didn't get an instruction manual with our babies and for whom parenting hasn't always gone as planned. On a more serious note this blog is about supporting a woman's ability to make her own choices about parenting including the choice, for whatever reason, to bottle feed her babies formula.
How odd for the NP to feel devastated by the actions of other people. I think she needs a hobby or something.
I'm glad to read that you are happy with your decision and had good results.