What is not allowed during rehabilitation after mammoplasty?

Make an appointment Surgery to change breast size or correct its shape is not one of the simplest. Complete recovery of the body usually takes about a year. Following doctors' recommendations for introducing restrictions after mammoplasty is an important condition for obtaining a positive result.

The speed of adaptation in the postoperative period is influenced by the following factors:

• how extensive the surgery was;
• quality of preliminary preparation (nutrition, giving up bad habits);
• age (a younger body adapts to the situation faster);
• ability for tissue regeneration;
• the right psychological attitude.

In this regard, the speed of recovery may vary, but there are still general recommendations.

How the rehabilitation process works day by day

The first few days after surgery seem to be the most traumatic period; accordingly, at this time you should listen with special attention to the recommendations of the attending physician. The basic standards of rehabilitation include the following:

Return to your previous level of activity should gradually begin one month after surgery. It is important to consult with your doctor to coordinate the selected loads.

Early recovery period

After a successful operation, the patient is sent to a ward for a period of one to three days in a hospital. At this time, postoperative complications can be noticed. For example, bleeding or a reaction to anesthesia. However, with stable good health and a rapid recovery process, discharge may take place earlier.

During the first three days after mammoplasty, the patient remains in the hospital to monitor early postoperative complications.

Further recovery occurs at home. It is very important to follow all doctor’s recommendations during this period to avoid late adverse effects.

The final result of the operation can be assessed in a few months.

During the first hours, the patient must be brought out of anesthesia. At first it may seem that the breasts are a little larger than planned, but after some time the swelling begins to subside and the desired size is acquired. There will be fresh stitches on the body, so the attending physician will prescribe painkillers.

After mammoplasty, patients may experience periodic chest pain for six months.
This is considered the norm. The development of pain is associated with the location of implants near nerve endings or near the surface of the ribs.

Discomfort most often disappears on its own and does not require special rehabilitation.

Cosmetologist, dermatologist, trichologist

Kalinina Olga Alexandrovna

4 years of experience

As a result, the pain becomes insignificant and is reduced to slight discomfort. Every other day, the doctor examines the stitches, makes a bandage and gives the patient recommendations for favorable healing.

Discomfort and pain after surgery will be more intense if the implant is installed under the muscle; they usually last 10-12 days.

Sometimes after surgery you may experience difficulty breathing. This is due to a very tight bandage that is applied to avoid displacement of the implants and the correct formation of the future bust.

Repeated mammoplasty

Repeated mammoplasty is a surgical intervention that is performed when the desired result is not achieved after the first procedure or due to loss of shape of the mammary glands over time.

The first days may be a little difficult to get out of bed on your own, but already on the 3rd day you will begin to feel better.

With a stable normal temperature, good health and the absence of primary complications, the patient is discharged home. The surgeon must give complete instructions on rehabilitation after mammoplasty, lifestyle and prescribe the necessary medications. After this, the next, home rehabilitation period begins.

For one or two weeks, a special medical bra will be placed on the chest, which cannot be unfastened during this time. Short water treatments will be allowed only after it is removed. Such measures are necessary to keep the breast in the desired position, eliminate its mechanical damage and reduce pain.

The first week you need to be very careful and attentive to your breasts. If any unexpected symptoms appear, you should immediately report them to your doctor.

During the same week, it is prohibited to play sports or carry heavy objects. In addition, activities that raise blood pressure and increase heart rate are not allowed. It is recommended to rest more, lie on your back.

What not to do after breast augmentation: how to avoid complications

Recommendations after mammoplasty , according to their characteristics, can be classified as standard preventive measures. Most surgeons use personal experience in managing patients, expanding the list of wishes for the rehabilitation period, however, there is also a “base”, which includes the following items:

• In the first 10-14 days, it is not advisable to drive. Driving a car requires active actions, which can lead to sutures coming apart, implants moving and other negative consequences.
• Physical activity should be minimized. Going to the gym is not recommended for the first month. Among the available activities is walking (running is also excluded due to its traumatic nature).
• For the first month you should not lift weights over 5 kg (in the first 2 weeks the maximum is 2 kg). In the second month after mammoplasty, the load can be increased to the range of 5-10 kg.
• In the first month, it is not recommended to wear underwear with underwires (especially with breast augmentation with teardrop-shaped implants).
• It is necessary to give up bad habits. Most often, problems during the rehabilitation period occur in patients who abuse smoking and eat unhealthy foods.

An important recommendation is the rule of not exceeding the pain threshold: if discomfort occurs, you must stop the load.

Reasons why you shouldn't sleep on your side

The side lying position is one of the most natural and comfortable for sleeping. But not during the rehabilitation period after mammoplasty. There are several reasons that prevent it and force women to sleep on their backs with a high pillow.

The process is not complete without pain and discomfort, although, of course, the doctor prescribes medications for it. But lying on your side while sleeping will make the discomfort more intense. After all, it leads to vibrations of some areas of damaged tissue, increased load on them, and compression.

In addition, swelling will increase pain, making the position uncomfortable.

Until then, the edges of the wound can rip apart due to careless movement or too much stress on the suture. Turning over on your side and being in this position just provokes increased pressure in the weakest areas of the chest.

Features of bust care

The process of caring for the bust after mammoplasty begins immediately after the operation. Depending on the degree of complexity of the intervention, the patient spends the first few days in the clinic ward (under the supervision of the attending physician). The specialist’s task is to provide information about exactly how recovery after mammoplasty should occur.

There are several areas of postoperative therapy that must be followed by the patient. These include:

• Antibacterial therapy (includes taking antibiotics). The step can be considered as a preventative measure to avoid complications. In cases of breast enlargement by inserting an implant, the body may react negatively to the foreign body. Taking antibiotics extinguishes inflammation and speeds up the healing process.

Important! Stopping antibiotics and a number of prescribed medications on your own can lead to inflammation, which may result in forced removal of the implant.

• Taking painkillers. The main thing in the rehabilitation period after mammoplasty is psychological preparation. The first 1-2 days are accompanied by pronounced pain, for which you should be prepared. With the help of painkillers, the patient is able to concentrate on rehabilitation.
• Wearing compression garments. Surgical intervention is accompanied by swelling and hematomas. Compression garments act as a “tool” to reduce negative consequences in favor of accelerating healing. The organization of “tightening” in the necessary areas is achieved through a special form of linen. Augmentation mammoplasty requires wearing a special bra that allows you to fix the implant. The type of compression garments is selected based on the characteristics of the operation.

Important! The rehabilitation process should be divided into two directions: breast reduction and lift; breast enlargement. In the case of an increase in volume due to implants, key attention is given to their fixation and reducing the risk of rejection. After reduction and tightening, in addition to fixation, it is especially important to eliminate swelling in order to speed up the healing process.

Thus, when answering the question of what mammoplasty is, in addition to surgery, it is imperative to mention rehabilitation. The recovery monitoring period is usually limited to 1.5-2 months. Then the patient can gradually return to her usual way of life.

Should I endure the pain?

Doctors do not recommend enduring pain when turning on your side, since pain signals that the operated muscles have not yet fully healed and require rest.

For this reason, you should not lie on your side until the discomfort and pain go away.

Find out what reduction mammoplasty surgery means.

How to relieve swelling after mammoplasty? Click read.

Seam processing

Sutures after mammoplasty aimed at breast enlargement are usually hardly noticeable and appear as small strips of 2-4 mm. In the case of tissue excision and breast lift, traces of surgical intervention look more obvious. To hold the edges of the wound, it is recommended to use a special adhesive plaster; additional fixation promotes healing.

Sutures are treated with a prescribed antiseptic. The “crust” that forms around the seams should fall off on its own. If swelling, persistent swelling and signs of bleeding are detected, you should consult a doctor. In general, whether it is stitches after blepharoplasty or serious mammoplasty, the basis of care is systematicity (treatment must occur according to the schedule prescribed by the doctor).

How should a woman feel?

After mammoplasty, some women experience decreased sensitivity of their breasts and nipples. There is no need to be afraid of this, as this is a completely normal phenomenon. Skin sensitivity will return after three to five months.

Also, after breast correction, many women experience a sharp feeling of discomfort and inconvenience. This condition may be even more pronounced if the patient has had a large implant installed under the muscle.

As a rule, it takes 2-4 weeks to get used to the new breast. After this, the woman gets used to the new sizes and no longer feels such an acute change in her body.

Another symptom that will invariably be present after surgery is pain. To ease it, the patient will be prescribed painkillers, which she will take for two to three days.

Wearing compression garments

Only the surgeon can answer the question of how long to wear compression garments after mammoplasty The wearing time directly depends on the severity of the operation, the characteristics of the recovery period and a number of minor factors. Experts point out that making an independent decision to stop wearing shapewear is unacceptable.

This problem is especially acute in the area of ​​breast augmentation. Often, 2 weeks after the operation, the patient’s pain goes away. The underwear creates the necessary support, which also minimizes discomfort, creating a healing effect. However, even in the absence of pain, removing the bra yourself is unacceptable, since there remains a high risk of damage and displacement of the implants.

Psychological preparation is important - the most common reason for deciding to stop wearing underwear is the desire to look at the result, as well as try on underwear. It is critical to understand the negative effects that curiosity brings with it. A bra after mammoplasty is a necessity that should be remembered.

For the first month, underwear is worn 24 hours a day (including at night). From the second month, with the permission of the attending physician, underwear can be worn only during the day, remaining without it during sleep. The average period of wearing a medical bra is 1-2 months. It may take 3-4 months to recover and achieve the desired result.

On the site you can find photos of mammoplasty and the deterioration of its results due to non-compliance with instructions. Studying such information is mandatory for patients intending to see a surgeon.

Sports and fitness activities

After mammoplasty, you will have to reduce physical activity. This will promote tissue restoration and eliminate unwanted complications.

During the first week, the desire to play sports will most likely not appear due to pain and discomfort in movements. Physical activity should be introduced gradually, carefully developing the muscles. But you should start working on the chest muscles only after 3-4 months.

After a month or two, you can begin working with dumbbells weighing up to 2 kg. You should forget about swimming, stretching, and abdominal exercises for several months after mammoplasty. It is not recommended to engage in technically complex sports (kickboxing, rock climbing, yoga, tennis, etc.) for six months.

It should be noted that during rehabilitation you can only play sports in a sports or regular, but tight bra.

There are a lot of recommendations and restrictions for the rehabilitation period after breast augmentation, but all these measures are necessary for the successful recovery of the body. If you carefully follow all the doctor’s recommendations and wishes, you will soon be able to return to your normal lifestyle.

Massotherapy

Upon discharge, each patient should have an idea of ​​how to properly perform rehabilitation massage after mammoplasty. Its implementation allows you to speed up the healing process, while reducing the risk of complications. The first massage after mammoplasty is carried out by the attending physician; then the patient must independently perform it at home. The frequency of the procedure is 1 time every 1-2 days.

Breast massage after mammoplasty can be started on the fifth day. During the procedure, it is important to support the breasts, thereby creating a fulcrum. To begin with, circular movements will be enough. With healing, the list of effects can be expanded. Basic massage movements are demonstrated in the illustration:

It is also important to pay attention to stitches and scars during the massage - the impact can significantly reduce healing time, helping to visually improve the skin.

Biofilms

There is also an opinion that the reason for the formation of membranes lies in biofilms formed by microorganisms. This theory is relatively new in medicine and surgery. Bacteria can attach to the implanted prosthesis and form a film on the surface of the implant, allowing them to live and reproduce without being affected by the body's immune system. The accumulation of bacteria is not a sufficient cause of actual infection, but is sufficient to stimulate the formation of a hard capsule and, consequently, capsular contracture. Therefore, many surgeons advise taking multiple doses of antibiotics during surgery to avoid the risk of breast implant infection. It is becoming common practice to rinse the implant pocket with a dilute antibiotic solution; this is done not only to reduce the risk of clinical infection, but also to prevent the formation and development of biofilms.

Warning signs of complications

To understand the features of the intervention and the recovery period, it is extremely important to have an idea of ​​what may occur after mammoplasty Often, due to non-compliance with the doctor’s recommendations, symptoms of capsular contracture .

Breast deformation occurs due to pressure from the fibrous capsule. Capsular contracture after mammoplasty can be eliminated with massage, laser therapy and a number of other influences (in each case, the doctor determines a personal line of treatment). Other warning signs of complications include:

• Ripping after mammoplasty (it is important to have an idea of ​​how to deal with it ). Visually, the complication manifests itself due to insufficient skin density (as a result of which the implant appears). Ripping after mammoplasty can appear as a result of an incorrectly selected implant, due to physiological characteristics, as well as against the background of ignoring the doctor’s recommendations.
• Implant displacement. If displacement is visually detected, an urgent consultation with a doctor is necessary. A preventive measure is to constantly wear compression garments and avoid putting stress on the pectoral muscles.
• Temperature after mammoplasty. An increase in body temperature in the first 3-4 days after surgery can be considered normal. If the condition continues, it is necessary to consult a doctor, since such a deviation may be a sign of an inflammatory process.

It is also important to pay attention to the following points:

• sensitivity (its loss is an alarming symptom);
• uniformity of postoperative swelling;
• softness of tissues (detection of compactions requires analysis);
• deformations;
• changing the shape of the seams.

There are contraindications to mammoplasty. These include the following points:

• age under 18 years;
• diseases of the mammary glands;
• pregnancy;
• intolerance to anesthesia;
• presence of cancerous tumors.

Before the operation, a full diagnosis is required, excluding all the described contraindications.

Medicines

To ensure favorable healing of the suture and prevent inflammatory processes, patients may be prescribed a course of antibacterial therapy.

Taking antibiotics can negatively affect the functioning of some body systems; such treatment is usually combined with antihistamines, nystin, and vitamin therapy. At the discretion of the doctor, the course of tablets can be increased.

To make the recovery process after mammoplasty comfortable, the surgeon may prescribe the following remedies:

• Painkillers. It will help women with low pain tolerance. Pain after surgery is standard and occurs due to stretching of the internal breast tissue. There are medications that relieve swelling and other syndromes, but the pricing policy for such drugs is much higher.
• Hormonal ointments.

In case of illness or special recommendations, the doctor may prescribe a course of drugs in this direction.

Breast implants:

There are several main companies specializing in the production of implants (endoprostheses). Among them are Sebbin, Mentor, Arion, Polytech, Silimed and others .
Modern silicone implants are quite durable, even if the implant shell is damaged. Silicone is safe. It does not affect the processes occurring in the body, and does not have an adverse effect on pregnancy, feeding and intrauterine development of the child. This has been proven by numerous studies. Breast implants come in various sizes, heights (profiles), shapes (round or anatomical). The advantage of anatomically shaped implants is that they follow the natural shape of the breast, especially if a woman wants to enlarge her breasts by several sizes at once. Also, endoprostheses vary in density and surface (smooth or textured).

Therefore, one of the goals of a preliminary consultation with a plastic surgeon is to decide what your breasts should look like after surgery. Together with a plastic surgeon, you will select the desired volume, profile, shape and texture of the implants. Our doctor will be able to give you professional recommendations and advice about endoprosthesis manufacturers and the properties of implants.

Useful video

For recommendations on caring for the mammary glands after mammoplasty, watch this video:

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When can you take your favorite pose?

The recovery process after mammoplasty has its own peculiarities for all patients. They depend on the quality and scale of the operation performed, the size of the implant, the patient’s health condition, and age. It is also important how carefully she follows the rules of rehabilitation. And the timing when you can sleep on your side after mammoplasty without the risk of harming yourself also varies:

• If recovery is progressing normally, the sutures are removed after 2 weeks. That is, the skin grows together and is able to perform its inherent protective function. Swelling during this period also decreases significantly, although some excess fluid in the chest is still present. But by this time you can try to roll over on your side. After all, the process of regeneration of damaged areas has already led to some restoration. The implants “sit” in the mammary glands more firmly, without the risk of moving. Pain is also less of a concern.

• For some women, recovery is slower. And even after the stitches are removed, the swelling is still significant, causing discomfort, and not just preventing you from seeing the final result of the operation. In this case, stricter restrictions make sense. That is, you should still sleep on your back, and you can lie on your side only a month after mammoplasty.

Recommendations during the recovery period

Other mandatory rules of rehabilitation will help you see your own breasts in an ideal form faster and forget about discomfort:

• A compression bra should become a constant companion for 2 months. It will keep the breast from swaying, the implant from moving, and relieve the woman from pain. Therefore, such underwear is worn almost continuously, taking off only to take a shower and treat seams.

• You need to wash with warm water, avoiding hot baths or saunas. You should also avoid solariums and visiting the beach for 3 months. And later there is no need to expose the stitches to ultraviolet radiation. This can make them very noticeable.

• The seams need care. First, it consists of antiseptic treatment so that the tissues heal without problems. Then you should use creams that will make the resulting scars less noticeable.

• For the first month and a half, physical activity, bending, and heavy lifting are unacceptable, even if it is a small child or a pet. Sports are limited to light exercises that promote rehabilitation. But a doctor must also allow you to do restorative exercises.

• Nutrition is healthy, complete, without excesses. We need vitamins and protein to make the recovery processes go faster. Be sure to drink a lot of water, but you will have to give up alcohol and smoking for now. Alcohol and tobacco interfere with the formation of new cells, that is, they prevent the healing of internal and external sutures.

• It is worth monitoring your weight, not losing weight and not gaining excess weight. Both can lead to changes in your own breast tissue, making the result of the operation different from what was planned.

In each case, you should ask your surgeon about whether it is possible to sleep on your side after mammoplasty. One of the conditions for its successful outcome is high-quality restoration. But for the sake of the effect, you can endure short-term inconvenience.

When massage for mastopathy is contraindicated

No one forbids doing self-massage, but it is better to contact a specialist - a mammologist.

When the fibrocystic formations are still small, it is allowed to massage the breasts with light stroking following the direction of the lymph flow. Sudden and pressing movements are strictly contraindicated. Before performing a massage, be sure to familiarize yourself with the techniques of self-massage.

If there is an elevated body temperature, there are wounds, ulcers, or an allergic rash on the skin of the mammary glands, then massage manipulation is not allowed. If a malignant tumor is suspected, massage is contraindicated.