Breastfeeding After Reduction Mammaplasty Using Different Techniques



This study reviewed mammary glandular function and breastfeeding after reduction mammaplasty performed via four different surgical techniques. Patients who underwent this procedure were asked to answer questions concerning the birth of a child, natural breastfeeding, and the reasons why natural breastfeeding was not performed or was interrupted.


Between 1992 and 2001, 368 reduction mammaplasties were performed in the Department of Plastic Surgery at the “La Sapienza” University of Rome. After reduction mammaplasty, 105 patients had a child and were enrolled in the study. Breastfeeding data were compared with data from hospital records at the time of surgery in terms of patient age, reduction mammaplasty technique, sensitivity of the nipple–areola complex after the operation, and proportion of the gland removed.


Maternal breastfeeding was considered to have occurred if it lasted more than 3 weeks and was not accompanied by any nutritional supplements. Babies were breastfed by 60.7% of the patients who underwent a superior pedicle reduction mammaplasty, by 43.5% of those who underwent an inferior pedicle reduction mammaplasty, by 48% of those who underwent a medial pedicle reduction mammaplasty, and by 55.1% of those who underwent a lateral pedicle reduction mammaplasty.


The findings demonstrate that conservative reduction mammaplasty techniques supported by medical and paramedical staff permit subsequent breastfeeding. In particular, the best outcomes resulted from superior pedicle reduction mammaplasty. Skilled execution of the surgical technique is mandatory to guarantee adequate vascularization and sensitivity of the nipple–areola complex and to spare as many of the glandular ducts and lobules as possible.

This is a preview of subscription content, access via your institution.


  1. 1.

    Aillet S, Watier E, Jarno P, Chevrier S, Pailheret JP (2001) Juvenile breast hypertrophy: analysis of long-term results of reductive mammaplasty. Ann Chir Plast Esthet 46:585–594

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Akpuacka FC, Jiburum BC (1998) Reduction mammaplasty by the inferior pedicle technique: Experience with moderate to severe breast enlargement. West Afr J Med 17:199–201

    Google Scholar 

  3. 3.

    Branger B, Cebron M, Picherot G, et al. (1998) Factors influencing the duration of breastfeeding: A study of 150 women. Arch Pediatr 5:489–496

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Brzozowski D, Niessen M, Evans HB (2000) Breastfeeding after inferior pedicle reduction mammaplasty. Plast Reconstr Surg 105:530–534

    PubMed  Article  CAS  Google Scholar 

  5. 5.

    Cruz-Korchin N, Korchin L (2004) Breastfeeding after vertical mammaplasty with medial pedicle. Plast Reconstr Surg 114:890–894

    PubMed  Article  Google Scholar 

  6. 6.

    Davis GM, Ringler SL, Short K, et al. (1995) Reduction mammaplasty: Long-term efficacy, morbidity, and patient satisfaction. Plast Reconstr Surg 96:1106–1110

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Georgiade GS, Riefkohl RE, Georgiade NG (1989) The inferior dermal-pyramidal type breast reduction: Long-term evaluation. Ann Plast Surg 22:202–211

    Google Scholar 

  8. 8.

    Hefter W, Lindholm P, Elvenes OP (2003) Lactation and breastfeeding ability following lateral pedicle mammaplasty. Br J Plast Surg 56:746–751

    PubMed  Article  CAS  Google Scholar 

  9. 9.

    Hintringer T, Pilz S, Bauer M (1994) Breast reduction with superior pedicle: Follow-up of 150 breast reduction-plasties with special reference to subjective assessment by the patients. Handchir Mikrochir Plast Chir 26:227–230

    PubMed  CAS  Google Scholar 

  10. 10.

    Hollyman JA, Lacey JH, Whitfield PJ, et al. (1986) Surgery for the psyche: A longitudinal study of women undergoing reduction mammaplasty. Br J Plast Surg 39:222–224

    PubMed  Article  CAS  Google Scholar 

  11. 11.

    Kakagia D, Tripsiannis G, Tsoutsos D (2005) Breastfeeding after reduction mammaplasty: A comparison of 3 techniques. Ann Plast Surg 55:343–345

    PubMed  Article  CAS  Google Scholar 

  12. 12.

    Lossing C, Holmstrom H (1985) Reduction mammaplasty with preserved breastfeeding function. Lakärtidningen 82:2878–2881

    PubMed  CAS  Google Scholar 

  13. 13.

    Marshall DR, Callan PP, Nicholson W (1994) Breastfeeding after reduction mammaplasty. Br J Plast Surg 47:167–169

    PubMed  Article  CAS  Google Scholar 

  14. 14.

    Renaud RL, Macler J, Dervain I, et al. (1980) Echographic study of follicular maturation and ovulation during the normal menstrual cycle. Fertil Steril 33:272–276

    PubMed  CAS  Google Scholar 

  15. 15.

    Strombeck JO (1980) Late results after reduction mammaplasty. In: Goldwyn RM (ed) Plastic and reconstructive surgery of the breast. Little Brown and Company, Boston, pp. 722–734

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to E. M. Buccheri.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Chiummariello, S., Cigna, E., Buccheri, E.M. et al. Breastfeeding After Reduction Mammaplasty Using Different Techniques. Aesth Plast Surg 32, 294–297 (2008).

Download citation


  • Breastfeeding
  • Breast surgery
  • Reduction mammaplasty