Of course, most people who talk about top surgery don’t talk about potential future pregnancy or lactating.
I had a mastectomy, not keyhole, and I actually am producing a little bit of milk. Most people don’t know this is possible, the midwives I worked with didn’t, I was lucky and a nurse I spoke with at 12 weeks pregnant told me that I might actually be able to lactate even after the surgery.
As it turns out, even when the nipple is completely removed and detached- your body will work on recanalization and renervation to reattach it and make it as functional as possible. Even without being able to produce a real supply, I just find this absolutely miraculous and amazing. From the engorging I feel, if the recanalization had progressed more, I actually might be able to produce a bit. Not a full supply, but maybe a mouthful or so.