Milk Supply & Breast Surgery Information

Most mothers wonder at some point if their baby is getting enough milk. Some have serious concerns that their milk supply is insufficient. Some have had breast surgeries that they are concerned may hinder their ability to provide their baby with adequate nutrition. Here are some resources regarding milk supply and production. *

Milk Supply Equation – Copyright © Lisa Marasco

Sufficient lactation tissue
Intact nerve pathways
Intact ducts
Adequate hormones
Adequate receptors
Adequate milk removal
Adequate stimulation
Sufficient frequency

Adequate removal of milk – Make sure that your milk is being removed frequently enough to maintain supply. Breastfeed or pump often, your body produces milk to replace milk that is removed, so the more milk that is removed, the more milk is made. Be sure your baby is latched correctly to maximize milk removal.
Hormonal – Hormonal imbalances can sometimes cause low milk production. Thyroid, insulin, progesterone, estrogen, testosterone, prolactin and fasting glucose can all affect milk supply. Receptors and pathways must be intact for each hormone to work properly.
Mammary tissue – Women can have damaged or insufficient mammary tissue for several reasons. Breast implants, reductions and other types of surgery can reduce milk production by damaging glands, ducts, and nerves. Polycystic Ovarian Syndrome (PCOS) is a possible cause of poor mammary tissue development. Goat’s Rue can help to increase mammary tissue.
Scarring – This can result from any type of surgery affecting the mammary tissue, including diagnostic, ablative and cosmetic breast and nipple surgeries. Areola piercings can cause scaring in the nipple that can damage to nerves critical to milk ejection.
Anti Galactogogues (Galactofuge) – Women may ingest certain food items while breastfeeding, not realizing they might be having an effect on their milk supply. Try to avoid these spices in large quantity while breastfeeding; sage, parsley, thyme, and peppermint (including breath mints). Decongestants such as pseudoephedrine (especially four months postpartum) and hormonal birth control (especially in the first weeks after birth) can also decrease milk supply.


Causes of Low Milk Supply

Causes of Low Milk Supply

Living with Chronic Low Milk Supply – A Basic Guide, by Angie Cannon, D.M.A., Hilary Jacobson, Beverly Morgan, IBCLC

Articles on Milk Supply, from Mobi Motherhood International

Low milk supply – Could it Be Your Hormones?, Podcast by Lisa Marasco, IBCLC


Increasing Milk Supply

Increasing Your Supply

Increasing Low Milk Supply, from

Protocol to Manage Breastfeeding Intake, by Dr. Jack Newman

Increasing Your Milk Supply With Galactogogues, by Lisa Marasco, IBCLC

Articles on Milk Supply, from Mobi Motherhood International

Making More Milk, Podcast by Diana West, IBCLC


Nutrition & Milk Supply

Mother Food, by Hilary Jacobson

Lactogenic Diet, by Hilary Jacobson

Lactogenic Foods and Herbs, by Hilary Jacobson

Articles on Nutrition by Mobi Motherhood International


Breastfeeding After Breast & Nipple Surgery

Breastfeeding and Breast Reduction

Frequently Asked Questions About Breastfeeding after Breast and Nipple Surgeries, by Diana West

Breastfeeding after Breast Reduction Surgery, by La Leche League International

Will the breast surgery I had in the past prevent me from being able to breastfeed my baby?

Can I breastfeed if I have silicone implants?


Polycystic Ovary Syndrome (PCOS) and Breastfeeding

PCOS from Mobi Motherhood

Breastfeeding with PCOS, by Lisa Marasco

Living and Breastfeeding With Low Milk Supply, by Krissi Danielsson

Lisa Marasco Talks about PCOS and Breastfeeding


Induced Lactation/Relactation

The Adoptive Breastfeeding Resource Guide

Relactation and Adoptive Nursing, by Anne Smith IBCLC


Insufficient Glandular Tissue

Podcast by Diana Cassar-Uhl, IBCLC

Markers of Lactation Insufficiency: A Study of 34 Mothers, by Kathleen E. Huggins, RN, MS, CLC, , Ellen S. Petok, BS, IBCLC and Olga Mireles, RNC, CLC


Milk Donation/Sharing

Northwest Mothers Milk Bank

Human Milk Banking Association of North America

Milkshare (for mother-to-mother donation)



Defining Your own Success: Breastfeeding After Breast Reduction Surgery, by Diana West, IBCLC

The Breastfeeding Mother’s Guide to Making More Milk, by Diana West, IBCLC and Lisa Marasco,IBCLC

Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers, by Nancy Mohrbacher, IBCLC and Kathleen Kendall-Tackett, IBCLC

The Womanly Art of Breastfeeding, by La Leche League International

*The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.*