Breast Reduction

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Breast reduction surgery is done mainly to address any physical discomfort a patient may be experiencing because their breasts are too large. If the patient has had a history of neck, back or shoulder pain then this procedure should be able to correct that issue.

1. If you are a smoker, you should stop completely. This will help to avoid respiratory complications and to improve circulation to the surgical areas.

2. Abstain from taking aspirin, aspirin containing products, or any non-steroidal anti-inflammatory agents for at least 2 weeks prior to surgery.

3. Avoid alcoholic beverages for at least 24 hours prior to your surgery.

Appointment

4. Do not eat or drink after midnight the day of your surgery. If you must take medications on the day of surgery, you may take them with a small sip of water.

5. You will not be allowed to drive yourself home after surgery. Please make arrangements for a family member or friend to pick you up.

6. Do not apply any body lotions, creams, antiperspirants, hair treatments, or make up on the day of surgery.

Abstain from taking aspirin, aspirin containing products, or any non-steroidal anti-inflammatory agents immediately and following your surgery unless instructed otherwise.

Do not take pain medications on an empty stomach. This may make you nauseated.

Opioid pain medications (Codeine, Viocodin, Percocet, Darvocet, Norco, Hydrocodone, etc.) can cause constipation. Use a stool softener or gentle laxative (MiraLax or Dulcolax) if you experience this. Notify your physician if your constipation does not resolve.

Pain medications and antibiotics are usually prescribed. If they are not prescribed to you please call the office and confirm.

If you are a smoker, you should abstain from smoking immediately. This will help to avoid respiratory complications and improve circulation to the surgical areas.

Avoid alcoholic beverages until advised by your physician.

Drink plenty of fluids after surgery for the first 3-4 days. Avoid caffeinated, sugar or carbonate beverages or drinks.

Unless otherwise instructed, consume only liquids the evening after your surgery. You may then slowly advance your diet the following day to soft and bland foods i.e. mashed potatoes, over-cooked pasta, eggs, etc. It is suggested to stay away from dairy products for 3-4 days.

Walking is important to help with leg circulation and should be increased gradually each day as tolerated.

Do not lift anything heavier than a gallon of milk for the first 6 week. After 6 weeks, you may engage in gentle activities, gentle sex, and gentle exercise as tolerated. Start slowly and build up your body slowly to prevent injuries. Vigorous activities and exercise should be refrained from until 12 weeks.

Deep breathing and coughing is encouraged. Holding a pillow firmly against your abdomen may help reduce discomfort.

You will not be allowed to drive until advised by your physician.

You will have a bra and dressings placed at the time of surgery. This will be removed at your postoperative visit. Please ensure the bra is not too tight or constricting as the breasts may swell after surgery.

You may have a surgical drain placed in each breast. Your physician will determine when the drains will be removed based on the output. Please monitor the output of the drains and the time and date it was drained. Please bring the record to your post-operative visits.

You are encouraged to wear either a sports bra or soft bra 24 hours a day for 1 month after your surgery.

You must not wear a bra with an underwire for 3 months following surgery.

During the first 24 hours following breast surgery, you can expect some drainage from the surgery sites.

Do not shower until cleared by your physician. After you are cleared it is permitted for soap and water to come in contact with your incisions and drains.

Obtain assistance when showering so you do not fall and get hurt.

Do not immerse yourself a tub, Jacuzzi, or pool until cleared. This is not permitted for at least 6 weeks and possibly longer depending on the incisions being completely healed.

Sleeping on a towel for the first few days may help prevent soilage of your bedding as a result of normal oozing from your incisions and drains.

Do not apply any body lotions, creams, vitamin K, or other skin treatments to your incisions until advised.

Bruising, Oozing, Swelling, Emotional ups and downs, Numbness, Itching, and Discomfort

Make your follow-up appointment by calling the office. If a follow-up appointment is not made for you please go ahead and make one for the day after surgery, 1 week after surgery and weekly while incisions have not healed correctly, or drains are in place.

Please report the following symptoms to your doctors office immediately.

• Fever >100° F or higher
• Unusual bleeding
• Excessive pain
• Excessive swelling of or around the wound
• Increased redness
• Light headedness
• Temperature of 100° F or higher
• Chest pain
• Shortness of Breath
• Severe Headaches,
• Changes in Vision
• Any Neurologic problems
• Numbness in the extremities
• Heart Palpitations or Arrhythmia