Post-operative Care

Breast Aesthetics

8 Principles

Principles to Adhere to After Surgery

Avoid scratching, bumping, or applying pressure to the newly operated area, as this can cause bleeding or hematoma.

Concurrently, to minimize mild pain or bruising in the chest area, you should take medication strictly according to your doctor’s prescribed schedule.

Typically, a drainage tube will be placed at the incision site for 24 – 48 hours post-surgery to facilitate fluid drainage, thereby reducing swelling and the risk of fluid accumulation.

Change the dressing within 24 hours after surgery and rest completely for 5 – 10 days post-surgery.

Apply cold compresses for the first 2 days. Remember to check the temperature of the cold pack with your hand and place a clean gauze layer between the ice pack and your skin to prevent thermal burns.

From the 4th day onwards, apply warm compresses to reduce swelling and bruising.

For 5-7 days, avoid consuming hard foods. Opt for soft foods such as porridge (plain rice porridge only, avoid sticky rice porridge), soup, and pureed foods.

Attend scheduled follow-up appointments at 1, 3, and 6 months for the doctor to assess your progress and health.

Post-operative Care Stages

5 – 7 Days After Breast Augmentation

– It is advisable to take a warm shower after 2 days, taking care to face away from the showerhead to prevent water from directly contacting the incision.
– Dressing changes and medication intake during this period must strictly follow the doctor’s instructions. Simultaneously, absolutely avoid strenuous activities, scratching the breasts, or engaging in tiring work, and maintain a relaxed mental state.
– To enhance the effectiveness of swelling reduction, gently apply ice packs (10-15 minutes/day) to provide comfort and soothe bruising.
– By the 5th day, you can engage in light walking or gentle yoga poses to help your body gradually adjust and reduce muscle tension and blood clots at the incision site.

10 – 20 Days After Breast Augmentation

– Avoid showering with excessively hot water; shower with your back facing the showerhead.
– Gently wipe the breast area with a soft towel; absolutely do not rub soap directly on the incision.
– Wear a supportive bra continuously for 4-6 weeks, including while sleeping, and wear loose-fitting outerwear.
– Continue to adhere to the dietary restrictions, drink plenty of water, and avoid alcohol.

1 – 2 Months After Breast Augmentation

– Once the scar tissue has healed, you can gently massage the area combined with applying scar cream (often containing turmeric) to help the appearance of the breasts become more perfect after augmentation.
– During this time, you should sleep on your back with soft pillows on both sides and absolutely avoid sleeping on your stomach to prevent excessive pressure that could damage the chest muscles or displace the implants.
– Regarding diet, you only need to avoid certain foods that can cause scarring and hyperpigmentation (beef, water spinach, egg whites, etc.) and limit the intake of greasy foods/fast food.

Detailed Post-operative Care Instruction Video

Post-operative Nutritional Regimen

– Avoid foods that cause keloid scars such as water spinach; avoid foods that easily cause itching and pus formation such as chicken, seafood, sticky rice, and foods with a “fishy” smell; avoid foods that affect skin pigmentation such as eggs and beef; avoid spicy and hot foods; do not use stimulants (beer, alcohol, tobacco, coffee, etc.) as these can prolong the wound healing process and increase the risk of infection.

Some Frequently Asked Questions After Breast Augmentation

Can I take birth control pills after breast augmentation?

For 2 weeks prior to breast augmentation surgery, avoid using medications that can affect blood circulation, such as birth control pills, hormone medications, aspirin, vitamin E, and herbal supplements. Also, do not use pain relievers and anti-inflammatory drugs before breast augmentation surgery.

Can I breastfeed after breast augmentation?

Modern endoscopic breast augmentation surgery is generally safe and performed using minimally invasive endoscopic technology, ensuring maximum safety for the health and natural function of the breasts.
Furthermore, the choice of implant placement location is crucial for future breastfeeding. If the breast implant is placed in front of the pectoral muscle, it can lead to compression of the mammary glands and loss of milk production ability. When the breast implant is placed behind the pectoral muscle, it does not affect the mammary glands at all. Therefore, breast augmentation surgery does not affect the function of the mammary glands, and women can still breastfeed normally.

Can I lie on my side after breast augmentation?

– The answer is NO.

– After breast augmentation surgery, you are required to wear a supportive bra for the first month. This is because during breast augmentation, surgeons insert breast implants to increase the size of the bust. Therefore, you need to wear a supportive bra to help the breasts settle into their new shape quickly. This significantly affects lying on your side after breast augmentation surgery.

How long do I need to wear a supportive bra after breast augmentation?

Patients need to wear a supportive bra for the first month. After the first month, patients can wear regular bras. However, care should be taken to be gentle to avoid damaging the breasts.
Note that in some cases, patients with good physical constitutions, faster wound healing, and quicker stabilization of breast shape may not need to wear a supportive bra for too long. Some individuals wear it for a shorter period, while others need to wear it for longer. Therefore, it is essential to adhere to scheduled follow-up appointments and care instructions as directed by your doctor.

How long after breast augmentation can I have intercourse?

Ideally, wait at least two weeks before engaging in sexual intercourse. Pay close attention to your incisions, as they are susceptible to infection and bleeding if not properly cared for. After the first two weeks, approach physical intimacy carefully and gradually.

Is it okay to travel by plane after breast augmentation?

After breast augmentation, patients need to rest completely and avoid moving or engaging in minimal activity for 5 to 7 days. Therefore, during this time, patients should absolutely not travel by plane. Changes in pressure and environment can lead to infection.

When will the swelling and pain subside after breast augmentation?

After breast augmentation surgery, you may experience pain in certain areas, which can be a normal symptom following a major surgical procedure, so there is no need to worry excessively. The wounds will swell slightly and quickly return to normal. After 7 to 10 days, your stitches will be removed, and you will enter the basic recovery phase. Depending on individual constitution, it usually takes only one to three months for your breasts to recover and become remarkably vibrant.

How soon after breast augmentation can I return to work?

The recovery time after endoscopic breast augmentation largely depends on the surgeon’s skill and the patient’s individual constitution. After 1 to 3 months, you can resume normal activities and return to work. The recovery process after breast augmentation involves the following stages:
• After breast augmentation, you will need to stay in the hospital for 1 to 2 days for doctors to monitor you and allow the incisions to stabilize.
• If your physical condition is good, you may be able to move gently and experience significantly less pain after 24 hours.
• In the initial days, you may need assistance from family members with daily activities, especially for those who underwent breast augmentation via the armpit incision, as arm and shoulder movement will be more difficult due to the incision location.
• After about 7 to 10 days of taking pain medication as prescribed by your doctor, you will no longer feel discomfort in the chest area. This period is also an ideal time for stitch removal as the breasts have recovered.

How soon after breast augmentation can I shower?

– After endoscopic breast augmentation, patients are advised not to soak in a bathtub as this can easily allow water to seep through the incisions, carrying bacteria, causing the incisions to open, and increasing the risk of infection.
– After the stitches are removed and the wounds have healed, your doctors will advise you on appropriate dietary restrictions and showering practices. Additionally, when showering, avoid using excessively hot or cold water and do not directly apply water, soaps, or shower gels to the incisions.

How long will it take for my breasts to feel soft after breast augmentation?

After breast augmentation surgery, the body needs time to recover and achieve optimal results. The time it takes to achieve the desired softness can vary for each patient; however, it typically takes several weeks to several months for the body to fully recover. For more accurate information, you should discuss any concerns related to the recovery process and post-operative results with your doctor.

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