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BREAST IMPLANT REMOVAL POST OP
PLEASE DISREGARD ANY INFORMATION THAT YOU FIND ON THE INTERNET AND FOLLOW ONLY ONT THE INSTRUCTIONS GIVEN TO YOU BY DR. TRUONG.
The following instructions are your obligation. Use this as a checklist of progress as you heal. Included are normal post-surgical experiences and key health considerations that may be a cause of concern.
TYPICAL POST-OPERATIVE SYMPTOMS: Typical symptoms of breast surgery and signs to watch for following breast implant removal include the following:
STIFFNESS/SWELLING/BRUISING: These are normal experiences as the skin, muscles and tissue heal. Pain medication and muscle relaxants will help you cope with any discomfort. If you have drains, you may experience additional localized discomfort. Consistent sharp pain should be reported to our office immediately.
Hypersensitivity of nipples/lack of sensitivity: This is normal and will gradually resolve over time.
A mild to severe itchy feeling of the breasts is possible as healing progresses. An antihistamine like Benadryl can help to alleviate severe, constant itchiness (please consult with your physician before taking anything). If the skin becomes red and hot to the touch, contact our office immediately.
DISFIGURED/SAGGING BREAST: This is normal, and can only be corrected following implant removal with revision surgery. Your breast tissues have stretched to accommodate your prior implant. Breast tissues do not have the elasticity to conform to your prior breast size and shape. Wearing compression and your post surgical bra can help, but cannot completely resolve any sagging or disfigurement.
ASYMMETRY OR DIFFERENT HEALING: Breasts may look or feel quite different from one another in the days following surgery. This is normal. No two breasts in nature or following surgery are perfectly symmetrical, nor will they be following removal of a breast implant in one or both breasts.
SLOSHING SOUND/SENSATION: Following surgery air can become trapped in the prior implant pocket and fluid may naturally accumulate. This is perfectly normal and will resolve within 2-4 weeks.
CALL THE OFFICE IMMEDIATELY IF YOU EXPERIENCE ANY OF THE FOLLOWING:
· Bright red skin that is hot to the touch.
· Excessive bleeding or fluid seeping through the incisions.
· Bruising that is localized to one breast or region of the chest. To alleviate any discomfort, and to reduce swelling, you may apply cool, not cold compresses to the treated region. (Crushed ice or ice packs must be wrapped in a towel before being applied to the skin. Do not apply ice or anything frozen directly to the skin. Apply cool compresses, for no longer than 20-minute intervals).
DIET: Meals are not restricted following surgery. Begin with clear liquids if you had IV sedation.
- Avoid salt so that you do not retain water.
- Do not eat anything spicy or greasy.
- We recommend a diet high in fiber, lean proteins, fresh fruits, and vegetables.
- DRINK PLENTY OF WATER.
- Percocet (pain) & Zofran (anti-nausea) will cause constipation. Take Metamucil/Stool Softeners.
GARMENT: Your post-surgical bra is to be worn 24 hours per day until your first post-operative appointment. It is designed to help with swelling while you heal.
- PLEASE keep all bandages and steri-strips under the bra intact until we see you
- You will be instructed to wear your post-surgical bra or sports bra for up to four weeks.
- DO NOT wear any bras with an underwire for up to 8 weeks, please confirm this with your Doctor as it is depending on your wound healing.
- If you have a drain placed in your incisions, carefully follow the instructions for drain care and record drained fluid on the Drain Care Instructions and Log.
ACTIVITY: Patients should rest the day of surgery and watch for dizziness upon standing. You may resume activities the next morning and should be up and moving around. To avoid complications, you should not be bed ridden following this procedure. Other than walking, exercise should be resumed gradually. Consult with the Doctor regarding exercise levels. IT IS NECESSARY TO HAVE SOMEONE STAY WITH YOU 12 HOURS FOLLOWING SURGERY.
SHOWERING:You may shower 48 hours post surgery. Leave all bandages intact while you shower until your first follow up appointment and let them air dry.
- It is advised that you have assistance with your first shower.
- Is is advised to have a light snack and orange juice to prevent dizziness
- you may experience dizziness and nausea removing your compression garment.
- We suggest washing your garment
- Do not replace pads, gauze, or bandages over your incisions unless you are still draining.
- Do not apply ointment/moisturizer over your incisions soap and water from your shower is sufficient enough for them to be cleansed.
- You may NOT sit or submerge your body in water for 4 weeks. No swimming pools, hot tubs, whirlpools or baths until the incisions are closed and thoroughly healed.
PAIN: Pain is usually minimal and typically resides within 1-2 weeks after surgery. Expect some pain even after taking your prescribed pain medication.
DO NOT SMOKE. Smoking can greatly impair your safety prior to surgery and your ability to heal following surgery. You must not smoke. While incisions may have sealed, smoking deprives your body of necessary oxygen that can result in poor healing and wide raised scars.
Maintain a healthy diet. Do not smoke. Do not consume alcohol several weeks post surgery.
SUN EXPOSURE: Avoid exposing any small scars to sun for at least 12 months. Always use a strong sun block, if sun exposure is unavoidable (SPF 30 or greater).
MEDICATION: DO NOT take herbal supplements, aspirin/aspirin containing products, Ibuprofen, arthritis relief medications, or vitamin E for two weeks before & after surgery.
You have been prescribed 3 medications:
- ANTIBIOTIC: Keflex (Cephalexin) Take this medication until completed (one week).
First dose (1pill) when you get home. Then take 1 pill four times a day until completed.
- ANTI-NAUSEA: Zofran (Ondansetron): As needed for Nausea
You may experience nausea/vomiting. Take one pill every 6-8 hours, as needed.
- PAIN: Percocet (Oxycodone/Acetaminophen): As needed Take your pain medication after a small/light meal to prevent nausea. Take 1-2 pills as needed for pain every 4-6 hours.
THIS MEDICATION IS TO BE TAKEN AS NEEDED ONLY FOR PAIN FROM SURGERY ONLY.
You may opt for Extra Strength Tylenol instead of Percocet for pain management. DO NOT TAKE TYLENOL AND PERCOCET AT THE SAME TIME.
SUN EXPOSURE: Avoid exposing any small scars to the sun for at least 12 months. Always use a strong sun block, if sun exposure is unavoidable (SPF 30 or greater).
EXPECTATIONS: Keep in mind that we are trying to achieve significant I improvement, not perfection. If your expectations are realistic, you are much more likely to be happy with the final result. Be patient, it may take up to 6-12 months to see optimal results from Breast Implant Removal Surgery.
For non emergency related questions ALWAYS call our office during business hours to 312.846.1529 (ex: appointment inquiry, time of upcoming appointment etc…)
For immediate emergencies 911 or go to Presence Saint Francis Hospital located on 355 Ridge Ave, Evanston, IL 60202. If you are unable to go to St.Francis, you may go to Presence Saint Joseph Hospital, located on 2900 N Lake Shore Dr, Chicago, IL 60657.
If you have urgent concerns after business hours, you may call 312.320.4655 (please note that the response may not be immediate. This phone number is not to be used for general inquiries such as appointment inquiries, time of appointment, or scheduling appointments, you should contact our office during business hours.
CALL PHYSICIAN IMMEDIATELY TO 312.320.4655
- If you have a temperature over 100.4 degrees
- Sudden and/or abnormal swelling
- Intense pain not relieved by pain medication (minor pain and discomfort is to be expected even after taking pain medication).