After Surgery Instructions: Breast Lift
Medications and Diet: All of the medications you have been prescribed are very important. Please read all the directions below carefully, and call us if you have any questions. REMEMBER TO EAT BEFORE YOU TAKE YOUR MEDICATION. ULTRACET (37.5 mg TRAMADOL/ 325mg ACETOMINOPHEN) -Take one to two tablets by mouth every 6 hours as needed for pain (#60) This is your pain medication that is taken as needed for pain. You should try to cut back on your pain medication three days after surgery to avoid nausea and constipation. You should take Acetaminophen alone (Tylenol) instead when you are cutting back. ZOFRAN (Ondansetron) 8mg ODT-(five tablets) place one tablet under the tongue on the day of surgery and then used as needed every 8 hours after surgery if you have nausea This is a very potent anti-nausea medication that will prevent nausea after your surgery. It is placed under the tongue and dissolves immediately. FLEXERIL (Cyclobenzaprine) 10mg-Take one tablet by mouth every 8 hours as needed for muscle spasm (#30) This is your muscle relaxant. You should take this medication every 8 hours after surgery for the first two days, then as needed and at night before you go to bed. MILK OF MAGNESIA (OTC LAXITIVE)-12 OZ bottle- Take 1 tablespoon in one dose to help relieve constipation as needed. Maximum dose is 4 Tablespoons in 24 Hours. You can stop it once your bowel habits return to normal. BOIRON PELLETS (Arnica Montana – herbal medication used for swelling) - Dissolve 5 pellets in the mouth 3 times a day for 5 days. Use until finished. Your previous home medications - Resume all home medications as directed by your Primary Care Provider. If you have any questions about which medications to take after your surgery, please contact your Primary Care Provider.
Activity: you should stay in bed and only get up to go to the couch or around the house the first couple of days. Have someone help you to go to the bathroom and take a shower. For the first week, you should stay at home as much as possible and only go out for emergencies. Don't drive for the first few days, if it hurts or if you are on pain medication or taking a muscle relaxant. Over activity can cause bleeding, so be very careful. You should not be cooking, cleaning, running errands, shopping, or picking up kids.
Dressings: Leave everything alone for 36 hours after surgery, at which point you are permitted to start showering. After showering, leave the steri-strips (small white tapes) in place over your incisions. Do not start using brown tape or scar stick yet. We will instruct you on use of these after your one-week appointment.
Instructions for showering:
- Remove the bra
- Remove all the GAUZE (these are the white squares that are being help on by tape on breasts)
- DO NOT remove the STERISTRIPS (the white tape on the incision)
- TAKE SHOWER (no tub bath) with soap and water. It is okay to get the incisions wet and soap on them. It helps to have a plastic chair or stool in the shower to sit when you shower. Also it is advisable to have someone else there with you to help.
- When you are done with shower, gently pat yourself dry in all areas
- You do not need to put tape or gauze or anything on the incisions
- Put the bra back on
Diet: for the first few days, only soups and bland food that are easy on your stomach. Start eating only in small quantities.
Constipation: Constipation is a frequent problem that occurs when taking pain medications. You should be sure to start the Colace right away. If you get constipated, try over the counter Milk of Magnesia, or the suppositories in your medication packet. If all of this does not work, you may use an over the counter Fleets enema.
Normal Things: If you received implants as part of your breast lift, it is NORMAL for the implants to be high up, have un-even size, position or swelling, have sloshing noises, be painful, and be hard for the first few weeks after surgery. Please be patient with them. Depression and mood swings are common too. Remind yourself that everything will be better soon! Do not be concerned with the size, position or shape of your implants for the first couple of weeks. It may take up to a month for them to settle into their proper position.
Appointment: PLEASE REMEMBER your one-week appointment. This is a very important appointment to keep.
Questions: During business hours, please call our office at 661-327-3800 and ask for Tarah or Kelly. After business hours, please call the answering services at 661-328-2195
Post-Procedure: After The First Week
Wear a sports bra all the time (preferably one that buttons in the front), especially when you sleep at night. Do not wear an under wire bra for one month. After one month, you can wear any bra you like.
Do not lift any thing heavy. Listen to your body- if something hurts, don't do it.
It is okay to shower. Do not take a bath, get into the Jacuzzi, the ocean or lakes for ONE MONTH.
It is okay to walk or do a low setting on the treadmill, elliptical machine, etc. Do not do any heavy lifting, running, or upper body exercises for one month. After that, slowly start with low weights, increasing if it doesn't hurt.
For the first month, wear the brown tape on your incisions only. Keep the incisions as dry as possible. If there is any "oozing" from the incisions, call us. The incisions should always remain closed and healthy looking. If there is ever an opening, call us. The incisions may look "bumpy" or "bunched" initially, but that will all resolve in a few weeks.
If you have implants:
It is important to know that you will need to wear a sports bra at night when you sleep for as long as you have implants. This is to prevent the implants from going out to your side.
Massage implants ten reps each, once a day for the next month. It is easier to do this in the shower in the morning, when the warm water helps to relax your muscles. THEN do it once a month in conjunction with your BSE (breast self exam).
Implant warranty ($100) must be filled in and mailed.
It is normal to feel electric shocks or tingling (nerves growing back). Implants take 6 weeks to 3months to drop and feel & look more natural. "Sloshing" goes away in 2-3 weeks. Numbness will usually go away once all the swelling resolves.
Questions: During business hours, please call our office at 661-327-3800
Post-Procedure: After The First MonthCongratulations! You have completed the initial healing phase of the surgery!
It is okay to start exercising and doing upper body workouts. Start slow, and increase as you feel the movement is not causing pain. Remember to listen to your body. If something is painful or causes soreness, do not do it right now and try again in a few days.
The scar is going to continue to heal. It is normal for the scar to be purple or red, or look "bumpy" or "bunched." Be patient, as this will continue to resolve with time. Do not expose the scar to the sun or to tanning beds (keep it covered with black tape and a bathing suit if you are out in the sun). Most scars can take a year or even longer to fade. Use scar stick twice a day.
You can start to wear normal bras. Under wire bras are okay as well. Remember to always sleep in a sports bra to support your breasts. If you feel the wire is rubbing on your incisions, do not wear a wire or pad the incisions until it is comfortable.
Mammograms are okay and recommended per your primary care physician recommendations.
If you have Implants:
The implants will continue to change: they will get softer and settle into a natural look and position. You may experience tingling and electric shocks as the nerves heal. Be patient and give it at least 6 months for the implants to totally settle into place.
Send in your implant warranty if you have not already done so. There is a $100 option that is recommended to cover the cost of a ruptured implant in the future.
Follow up: remember, we are always here for you for any type of problem. Call us immediately if you feel something is not right. It is our goal for you to have the best result possible, and communication is the key to achieving this goal. Also, feel free to come in on a yearly basis for a checkup.
Post-Procedure: Frequently Asked Questions"When can I take my bra off?"
Bra: The doctor recommends that you wear the bra as close to 23 hours per day as possible (all day and night, except for the time when you're in the shower). You will need to wear a sports bra with no under wire for 6 weeks, or until the doctor says you are clear to start wearing a regular bra."Do I remove the steri strips, or does the doctor remove them?"
The doctor or nurse will see you at your one-week follow-up appointment and will tell you when is the best time to remove your steri strips. Until then, the only dressings you should remove are the big pieces of white tape and gauze, and only after 36 hours have passed after your surgery."When can I take my first shower?"
The doctor recommends you wait 36 hours after your surgery to take your first shower. It is very important that you have a family member or friend there with you when you take your first shower, in case you feel dizzy or weak. You have a list of detailed instructions in your surgery handbook that the nurse gave you at your pre-op appointment, and also a duplicate copy in the envelope that the surgery nurse sent you home with on the day you had surgery."When do I start using my scar stick?" "How often do I apply my scar stick?"
The doctor or nurse will see you at your 6-week follow-up appointment and will tell you when is the best time to start using your scar stick. After they tell you to begin using it, you will be applying it to your scars twice daily, once in the morning after your shower, and once again before bedtime."When can I lay on my stomach?"
The doctor or nurse will see you at your one-week follow-up appointment and will tell you when is the best time to start sleeping on your stomach. For the first week, the doctor recommends sleeping on your back with your head elevated with two or three pillows to help to reduce swelling."Do my stitches dissolve or do I need to come in to the office to have them removed?"
All of our doctors use dissolving stitches. It is important that you keep your follow up appointments to ensure that the doctors and nurses are able to watch your progress as you heal."When can I wear an under wire bra?"
The doctor recommends you wear a sports bra with no under wire for 6 weeks, or until he tells you are clear to start wearing a regular bra. It is important that you remember to wear the bra as close to 23 hours per day as possible (all day and night, except for the time when you're in the shower)."When can I start exercising?"
The doctor or nurse will see you at your one week follow-up appointment and will tell you when is the best time to start exercising. For the first week, the doctor recommends that you focus on resting, and after one week he will generally clear you to start a low-impact exercise routine such as walking or a low-incline setting on an elliptical or bike. After six weeks, he will generally clear you to resume your regular exercise routine, including weight lifting, aerobics and running."When can I go swimming/take a bath?"
The doctor does not recommend swimming or tub baths for six weeks. You may take showers for the first six weeks after surgery."How long will I stay swollen/bruised?"
It is normal to have swelling and bruising all the way up to six months after surgery, or longer depending on the type of surgery you had done. However, it will get better every day and you will continue to see improvements, especially when combined with a healthy diet and exercise routine after your doctor tells you it is okay to begin exercising."How long do I keep taking the multivitamin and vitamin C supplement?"
Your doctor recommends you continue taking the multivitamin for six weeks after your surgery, and even longer if you are able to do so, to promote your overall healthiness."Can I take a rest from my bra?"
The doctor recommends that you wear the bra as close 23 hours per day as possible (all day and night, except for the time when you're in the shower). You will need to wear a sports bra with no under wire for 6 weeks, or until the doctor says you are clear to start wearing a regular bra. You can take a break from wearing the bra while you are in the shower, but it is very important to put it right back on after you dry off from the shower.