While we always endeavour to obtain perfection and symmetry in all our surgery, it must be realized that plastic surgery is more of an art than a science. There are factors beyond our control, such as the individual healing process of each patient. As is the case in most people pre-operatively, there may be slight differences between the two breasts post-operatively as well.
You need to continue the antibiotic treatment for 10 days after your surgery.
You must sleep on your back, using 2 to 3 pillows for the first week following surgery.
You will be given an appointment for a check up 1-2 days after your surgery. You will need to be accompanied for this appointment. A second appointment will be given two weeks later. You may come alone to this one.
You will need to wear a support bra (supplied by our office) for 4 weeks after your surgery. You also need to wear the special strap supplied to you by our office continuously for the first two weeks. The strap should be adjusted periodically and should be as tight as can be tolerated. It is to be worn high, above the breasts in order to avoid implants from shifting upwards. Perform minimal arm movements for the first few days. If you are not experiencing any pain, you can increase slowly the movements of your arms. No push-up or underwire bra can be worn for six months.
Your breasts will be swollen and a little sore. You may or may not have bruising. Your breasts may feel numb and/or sensitive. Due to this swelling and distortion, do not expect to see your final result until about three months after surgery.
You may begin taking showers on day 4 after surgery. Baths should be avoided for six weeks. A small “Saran wrap” type of dressing and gauze, called Opsite, is placed over the incision at the end of the surgery to keep it clean. Generally, this stays on until your first appointment with our nurse.
In the shower, for the first 3 weeks, you can let water run over the steristrips (placed directly on the incisions) but do not use soap directly on the incisions. The steristrips will begin to loosen (approximately 2 weeks post-operatively) and you may remove them with a pair of tweezers. Our nurse will remove all remaining steristrips at the end of the second week.
Once all steristrips have been removed, you will notice some fine sutures sticking out of the skin. These are purposely left long by the surgeon as all the suturing is done beneath the skin. These will be cut flush to the skin on your 2-week appointment with our nurse.
It is normal to have some yellowish discharge from the incisions and sometimes even some blood. The discharge is due to the melting stitches dissolving. There is often redness in the scars and the tissue around the incision can feel stiff and sometimes a little lumpy. It will soften and fade with time.
You can usually resume lower body exercises (including cardio) 4 weeks after the surgery. Any exercises involving upper body muscles need to be avoided for 8 weeks.
Avoid driving an automobile for one week. Avoid sexual manipulation of the breasts for three months following the surgery.
You will be given a prescription for pain medicine for when you are having discomfort. Please make sure that you eat something before taking your pain medication. You can take up to 2 painkillers in the space of 4 hours. In between (at the 2 hour mark), you can add 2 Tylenol Extra Strength if need be. DO NOT TAKE ANY ASPIRIN/ANTI-INFLAMMATORIES for the first week following the surgery. Tylenol is a good substitute for aspirin. In case of persistent vomiting or nausea, use Gravol in a suppository form.
Avoid alcoholic beverages for one week after your surgery (including beer and wine).