Cosmetic Surgery Tips

Breast Reduction Surgery After Care

Avoid stretching, strenuous exercise and heavy lifting for up to 6 weeks after the operation.

Some surgeons suggest wearing a sports bra 24 hours a day for up to 3 months after breast surgery. Check with your surgeon. The length of time you need to keep the dressings on depends on how quickly your wounds heal.

You can also read about what to wear after breast reduction surgery and what to buy for breast reduction recovery.

Breast Reduction Surgery After Care

This information explains how to care for yourself after your breast reduction surgery.

About Your Breast Reduction Surgery

Breast reduction surgery, also known as mammoplasty, is done to remove extra fat, tissue, and skin from your breast. This will help lift and reshape your breast and improve the positioning of your nipple. You can choose to have breast reduction surgery after or at the same time as another procedure to help your breasts match in size and shape.

If you’re having a lumpectomy (surgery to remove a tumor from your breast), you may have the option to have an oncoplastic reduction at the same time as your surgery. This is when your plastic surgeon rearranges the tissue remaining in your breast during your surgery.

You may choose to have a reduction on your other breast so that your breasts are more similar in size. Caring for Yourself After Breast Reduction Surgery:

You may need to get a mammogram before this surgery. Your healthcare provider will give you more information.

You’ll be able to go home the same day as your surgery. You must have a responsible care partner take you home. A responsible care partner is someone who can help you get home safely and report concerns to your healthcare providers, if needed. Make sure to plan this before the day of your surgery or procedure. It’s OK to use a taxi or car service, but you must still have a responsible care partner with you.

Common Problems After Breast Reduction Surgery

After Your Surgery Incisions (surgical cuts) After your surgery, your incisions will be closed with dissolvable or non-dissolvable sutures (stitches). If your incisions were closed with dissolvable sutures, the sutures will dissolve on their own. They don’t need to be taken out.

If your incisions were closed with non-dissolvable sutures, your healthcare provider will take them out about 2 weeks after your surgery. You may have small pieces of surgical tape (SteriStrips™) on your incisions. They’ll loosen and fall off by themselves.

You’ll have a gauze bandage covering your incisions. This will be held in place by your bra. Change the gauze as needed (such as if it gets dirty, wet, or there’s a lot of drainage) and after you shower.

Drainage

You may have small amounts of bloody drainage coming from your incisions for a few days after your surgery. This is normal. You may see more drainage especially after showering. If you have heavy, bright red, bloody drainage, or if your breast becomes firm or swollen in a short period of time, place extra padding in your surgical bra and call your healthcare provider. The bottom of your breast where the incisions come together may take a little longer to heal than the rest of the incisions.

Jackson-Pratt (JP) drain

You may have a JP drain when you leave the hospital. A JP drain is a small egg-shaped container that’s connected to a tube in your chest. It drains fluid from ®

Your surgical site

If you have a JP drain, your healthcare provider will give you more information about it, including how long you’ll have it in place. They’ll also teach you how to care for it before you go home and give you the resource Caring for

Your Jackson-Pratt Drain

(www.mskcc.org/pe/caring_jackson_pratt).

Caring for Yourself at Home

Showering

Don’t shower for the first 48 hours (2 days) after your surgery. After the first 48 hours, you may be able to take a full shower or shower only from your waist down. Follow your surgeon’s instructions for how to shower. After your drains are removed, don’t shower for the first 24 to 48 hours. You may shower 24 to 48 hours after your drains are removed. Your healthcare provider will let you know when you can shower.

When you begin showering, take a shower every day to help keep your incision clean. Before entering the shower, remove your bra and the gauze pad covering your incision.

Check the temperature of the water first with your back or hand because numbness may prevent you from feeling heat in the affected area. Wash with warm water and gentle, fragrance-free soap. Gently clean your upper incisions and drain sites, and rinse well.

Don’t aim the shower stream directly at your breast. Aim it at your upper back or your arm. Let the water run softly over your breast. Pat your incisions dry with a clean towel. Don’t rub them. Don’t take tub baths until your incisions and drain sites are fully healed because soaking may increase the risk of infection. You may be able to take tub baths about 6 to 8 weeks after your surgery but speak with your doctor before you do.

Talk with your healthcare provider before you use deodorant, lotion, or cream anywhere near your incisions as they’re healing. Healing usually takes about 6 weeks.

Clothing

Wear a soft supportive bra like the one your nurse gave you for 6 weeks after your surgery, even while Caring for Yourself After Breast Reduction Surgery 5/7

Sleeping

You can remove your bra when you shower. Don’t wear a bra that has an underwire while your incisions are healing.

Medications

You’ll get a prescription for pain medication to help manage your pain after surgery. Anesthesia (medication to make you sleep during surgery) and pain medications can cause constipation (having fewer bowel movements than usual). For information about how to manage constipation, read Constipation www.mskcc.org/pe/constipation).

Physical activity

Don’t lift, push, or pull objects heavier than 5 to 10 pounds (2.3 to 5.4 kilograms) for 6 weeks after surgery. Keep this in mind when grocery shopping, lifting children, or doing laundry.

Don’t do strenuous exercises (such as running, jogging, or jumping) for 6 weeks after surgery.

When to Call Your Healthcare Provider

Call your healthcare provider if you have any of the following:

Caring for Yourself After Breast Reduction Surgery 6/7

  • A fever of 100.4° F (38° C) or higher
  • Redness, warmth, or increased pain or swelling on your breast
  • Chills
  • Heavy, bright red, bloody drainage coming from your incision
  • Your breast becomes firm or swollen in a short period of time

Breast Reduction Recovery Week by Week

Incredible change happens this first month; your incisions will heal, and you will begin feeling like yourself again. You will also start experiencing the benefits of your breast reduction, like decreased neck and shoulder pain, better fitting clothes, and increased freedom of movement. These benefits depend largely on the reasons you went in for a breast reduction in the first place.

Enjoy these things but remember you are still in the early stages of healing, so don’t jump back into full activity too soon. Don’t hesitate to ask if you are not sure whether an activity is too rigorous. After a week or so, your surgeon will probably clear you to return to work (depending on your job requirements) and you’ll likely be driving by then as well. Near the end of the month you may be allowed to begin low-impact exercise.

It may be tempting to wear tight fitting clothes that you couldn’t before, but for now, stick to soft undergarments and looser clothing that won’t interfere with the healing at your incisions sites. Once your incisions have healed, your surgeon will also likely suggest you start using some sort of silicone-based product (cream or tape) on them. These can be very effective at reducing the appearance of scars in the long run.

During the first month after surgery your body is working hard to heal and recover from surgery. Though more subtle, this process continues as the months progress. It can take 12-18 months to see the full results of your surgery, including how your scars will look. How well you follow your doctor’s orders and take care of yourself during that time will make all the difference. It will be an investment, but you are worth it.

What To Wear After Breast Reduction Surgery

After your breast reduction surgery, you will need to wear a surgical bra or compression garment for approximately six weeks. As noted above, this can be removed while showering, but it should be worn the rest of the day and night. Once this six-week period is over, you can wear regular bras again, as long as they do not have an underwire. Underwire bras can be worn after about three months. This is because the skin under your breast can be irritated by the underwire as you are in your initial recovery.

What To Buy For Breast Reduction Recovery

  • Make sure you have enough medicines, bandages/dressings, antibacterial soap, ice packs and scar reducing creams. If your surgeon agrees to you using Arnica Gel and Bromelain then purchase these beforehand.
  • As regards your diet; you will need plenty of vitamins and minerals, and protein to help the healing process. Buy foods which are high in these.

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