Hi, I'm new here (and very new to motherhood) and haven't lurked at all, so I apologize if this is something I would have picked up with better diligence.
I have saline breast implants that were placed in the ideal way for breastfeeding: under-the-fold incision, sub-muscular placement. My baby is 3 days old and my milk hasn't let down, but I'm only producing colostrum on one side. It's excruciatingly painful to let her latch. I am confident we're latching well: everyone at the hospital said so, including the 4 nurses and LC I talked to about it. She was a total natural; grabbing tons of areola, flaring her lips, etc. We worked a bit on holds but it was consistently painful the whole time. It's very frustrating to keep reading and hearing that it shouldn't be painful: nothing was wrong with latch and nothing ever was. I think my nipples are oversensitive from my surgery but who knows. No one in the hospital had any implant-specific comments or advice.
Now we're home, and I realize that only one of my breasts is producing colostrum. They're both pretty battered and painful, though some holds are more tolerable than others. In the hospital we did two bottles to give my nipples a rest in between attempts; I called the pedi nurse and she said due to my "history" and the fact my LO hasn't had a dirty diaper in over 24 hours, we should supplement but still put her to my breast every 2 hours. At this point though, my nipples can't take it. the productive one is bleeding and the unproductive one is no longer interesting to her. She gets on, starts sucking and then starts shrieking. They're throbbing with pain off and on, and I'm keeping them under Hydrogel thingies.
I feel like a failure and can't stop crying. Is it going to get better when my milk lets down? Is it possible it never will? Will my unproductive breast ever become productive? Is it just way too early to be freaking out? Are there any resources tailored to implant-related concerns? Is there any way to know for sure that you are or aren't one of those women just inherently limited by her implants?