Breast Reduction Mammaplasty
After your surgery
After surgery, you'll be wrapped in a surgical bra over gauze dressings. Rarely, a small tube is placed in each breast to drain off blood and fluids for the first day or two.
Dr. Bermant prefers after breast surgery bras for support and comfort such as these after surgery designs that feature a comfortable front access. You can learn more about after surgery breast wear here. We prefer to pick the design and individually fit each of our patients with their bra before surgery.
|Vianna Ultra Lightweight Support Cotton Bra||Yesmina Z Front Zippered Cotton Medical Sports Bra||Allyssandra - 2" Band Cotton Knit Bra|
You may feel some discomfort for the first couple of days-especially when you move around or cough-and some soreness for a week or more. Although Dr. Bermant prescribes a strong pain medication, his patients typically tell him that plain Tylenol is more than enough to manage their comfort.
The gauze can be changed as needed. The front opening bra makes this much easier. This bra support can help with continued comfort. Dr. Bermant normally uses dissolvable sutures on the surface, so no suture removal is normally needed.
Dr. Bermant will need to see you the day after surgery in his office. For our Saturday patients unless you have an emergency, this is normally in the office on Monday.
If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. However, be sure to keep the suture area dry and keep away from the SteriStrips paper tape.
Your first menstruation following surgery may cause your breasts to swell and hurt. You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This usually fades over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.
Getting back to normal
Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three or four weeks.
Dr. Bermant will give you detailed instructions for resuming your normal activities. Most women can return to work (if it's not too strenuous) and social activities the same week of surgery. Activities involving bouncing, bending over, or lifting the arms over the head will take longer. Comfort is nature's way of telling you what you can, and cannot do. Listening to your body is the best way to protect your healing tissues.
You may be instructed to avoid sex for a week or more, since sexual arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks.
A small amount of fluid draining from your surgical wound, or some crusting, is normal. We encourage our patients to call us if there are any unusual symptoms, such as bleeding or severe pain.
Your new look
Breast shape evolution after surgery depends on the surgical method. Shorter scar techniques require a redistribution of tissue to achieve their contour. Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy.
After Surgery Scar Care can help. Dr. Bermant will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that breast reduction scars are extensive and permanent. They can remain lumpy and red for months, then gradually become less obvious, and can eventually fade to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.
Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You'll be rid of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better.
However, as much as you may have desired these changes, you'll need time to adjust to your new image-as will your family and friends. Be patient with yourself, and with them. Keep in mind why you had this surgery, and chances are that, like most women, you'll be pleased with the results.
With smaller, better proportioned breasts, you'll feel more comfortable and your clothes will fit better.