Plastic & Cosmetic Surgery Blog

Postoperative Guidelines For Breast Augmentation

Posted on April 23, 2019 by

What to expect:

Bruising. This lasts for two to three weeks.

Feeling of tightness. This subsides over several weeks.

Sensation of numbness of the breasts and nipples, usually temporary Swelling. This will gradually decrease over a period of several months.


Call Dr. Toledo’s office at (214) 363-4444 if you experience:

  • Severe pain which does not respond to medication.
  • Significant swelling, and/or unrelenting pain which occurs more on one side than the other.
  • One breast swollen 10% more than the other one.
  • Deep pain in the legs/calves; which may indicate a blood clot.
  • Shortness of breath or labored breathing can be a sign of blood clots in your lungs. Any problems or questions that we haven’t covered on this instruction sheet.

Activity: You should take it easy the day of your operation and the following two days.

Increase activity slowly as instructed. Try not to lift anything over ten pounds for one week. You can resume non-strenuous activities within three days, but wait three weeks for strenuous sports. Sleep on your back for two weeks to avoid direct constant pressure on your breasts. Because of the pain medications, you may feel light headed and need assistance getting to and from the bathroom the first few days.

Pain: The period of greatest discomfort usually lasts about twenty-four to forty-eight hours. Thereafter, you should have less discomfort and less need for medication. Occasionally, it lasts a bit longer, as different people have different pain tolerances.

Alcohol: Do not drink alcohol for five days after surgery or when taking pain medication.

Driving: You may drive when you feel up to it, starting 48 hours after surgery. Never drive under the influence of pain medication or sedatives.

Diet: Start with liquids the first few hours and then progress to your regular diet as you desire.

Bra: You will be given a bra at your postoperative office appointment. You must wear the bra day and night for four weeks. Forty-eight hours after surgery you may remove the bra to shower or change it. As a general rule, you should refrain from going braless for the first month following surgery.

Bathing: You may shower 48 hours after your surgery. Do not use very hot water. Bathing or swimming may loosen the steri-strips or tape on the incisions.

Sun: Do not sit in the sun at all for one week after surgery. Then you may gradually increase sunbathing. If the incisions are exposed, apply sunscreen for six months.

Sports: Strenuous sports such as tennis, swimming, jogging, aerobics, or bicycling may be resumed after three weeks. Refrain from any activity which significantly raises your body temperature, blood pressure, or heart rate for three weeks after surgery.

Work: Depending on the kind of work you do, you may be able to return to your job as soon as you are comfortable. If your work is fairly sedentary, you may go back to work in three days.

Postoperative visits: One to two days after surgery, you will be seen at our office.

Your breasts will be examined at that time, dressings will be changed, and we then place you in your bra. Subsequent visits: All further office visits will be determined by your progress. Typically, the sutures will be removed 5-6 days after surgery, and your next visit will be 3-4 weeks later.

Massaging: If you received round, smooth implants it will be extremely important for you to massage your breasts. Massaging will help limit the amount of scar tissue formation around the implants and therefore keep your breasts feeling soft. You will begin massaging your breast five or six days after surgery when you return for suture removal. Our nursing staff will teach you the proper way of massaging your breasts. You need to massage your breast at least three times a day, sliding the implant up towards your collarbone. It is imperative that you keep this superior pocket open. Unfortunately, one week after surgery it is still a little painful to massage your breast, but if you wait more than one or two weeks after surgery to do this, that upper pocket will be closed off forever. Pay close attention to our nurses’ instructions because this is the single most important thing you can do to achieve a good result after surgery.

Swelling: Surgery anywhere on the body causes swelling-your breasts are no exception. The swelling is never symmetrical and of course varies with each individual. Typically you will swell approximately 1/2 of a cup size, and it then regresses slowly over several weeks to months. For the first several days you may hear or feel “slushing” sounds-this is just a little serous fluid or blood around the implant that should disappear. If you notice one breast suddenly become sig- nificantly larger than the other and it is tight and painful, this is possibly a hematoma (collection of blood) developing, so call us immediately. This (blood collection) is the reason strenuous exercise should be avoided for 3 weeks, as blood clots can break loose as a result of high blood pressure.

Steri-Strips: Steri-strips or tape, are the single most important factor that reduces scarring. The tape helps to flatten the scar and keeps it from spreading or widening as the internal sutures dissolve. The steri-strips will be placed on your breast incisions after the sutures are removed. Watch how the nurse applies the glue and tape, as you will be doing this once a week for four to six weeks. Depending on your skin oils and physical activities i.e., sweating, bathing, or swimming, your tape may or may not stay on very long. The longer you can have your tape on the incisions without changing the better the scar result. Frequent tape changes can sometimes cause an allergic rash manifested by redness, swelling, and itching. If this happens, stop the tape and glue immediately and call our office. The rash will generally subside on its own, or we may need to prescribe a cortisone ointment. If any of the areas along the incision exhibit irritation, redness, drainage, or open skin, DO NOT APPLY THE TAPE.

You will be more comfortable using the private postoperative waiting room for your initial postoperative visit. Park at the handicap spot in front of the Sherry Lane door. Press the doorbell and we’ll let you in from the inside.


For breast enhancement surgery in Dallas Texas contact Dr George Toledo.

Learn more about the possible problems and complications associated with breast augmentation.

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