Is there any way to tell if my plastic surgeon preserved the milk ducts during my inverted T reduction?

The ability to breastfeed after breast reduction surgery varies greatly among individuals and depends on several factors. While some women can successfully breastfeed after the procedure, many will encounter challenges or find it impossible. Even with meticulous technique, reducing the breast will reduce your ability to successfully breast feed.

The extent of breast tissue removal during the surgery is a key factor. If the milk ducts and nerves are minimally affected, there's a higher chance of being able to breastfeed. These challenges can include insufficient milk production, issues with milk letdown, or difficulties with latching.

Damage to the milk ducts and nerves during the procedure impact milk production and flow. Women who are considering breast reduction surgery and wish to breastfeed in the future should discuss this with their surgeon beforehand. Surgeons can provide insight into the potential impact of the surgery on breastfeeding and may employ techniques to preserve breastfeeding function. I tell all women that have a strong desire to fully nourish their child with breast milk, to delay breast reduction until after children.


Seeking support from lactation consultants, breastfeeding support groups, or healthcare providers experienced in breastfeeding after breast surgery can be invaluable. They can offer guidance, support, and practical strategies to address breastfeeding challenges and optimize the breastfeeding experience.

The ability to breastfeed after breast reduction surgery varies from person to person, and it's essential to approach the decision with realistic expectations and a supportive network in place. Ultimately a fed baby is the most important thing. Even if you have less supply, and have to supplement on top of breast feeding, you and your baby may still see many of the benefits of breast feeding.

During the breast reduction procedure, the breast tissue (parenchyma) is removed to reduce and reshape the breast. However, the blood supply and nerve supply to the nipple should be preserved. Additionally, the glandular connections to the nipple are also preserved depending on the "pedicle" (i.e. nipple connection to the breast tissue) selected. The T-shape reduction refers to the skin excision, but only your surgeon knows what type of "pedicle" was used. Regardless, only by becoming pregnant will the hormones in your body instruct your breast tissue to produce milk and only while attempting to breast feed will you be able to determine if you are able. In general, a properly performed breast reduction should not negatively effect your ability to breast feed according to a review article from 2017.