7 months ago
Pregnancy with the associated breast engorgement and lactation can contribute to volume loss after lactation, and to the gradual ptosis of the breast, or droop of the nipple relative to the fold under the breast. Studies have looked into the contribution of breast feeding alone as a contribution to breast ptosis and findings have shown that breast feeding will not cause the breast to sag or droop. Individuals should not be discouraged from breast feeding as it will not in itself "ruin" the shape of the breast.
One of the greatest benefits of breast reduction is the lift created as the large breast is reduced. The breast lift seen after reduction is permanent, and multiple pregnancy, or breast feeding will not "ruin" the shape. Lactation will occur in the reduced breast, and unfortunately with substantial reduction lactation may be insufficient and a supplement may be needed. If breast feeding is very important to you, certainly delay reduction until after your family is completed. If not, it is safe to proceed. You should enjoy the result.
Best of luck,
peterejohnsonmd