| Dr. Dimitrijevic's postoperative instructions for breast augmentation
1. Your breasts are wrapped with an ACE wrap. Leave the
wrap on for 72 hours. If the wrap is too tight, you can undo
the ACE bandage and rewrap it more loosely. But, the ACE bandage
should be snug and provide support for your new breasts. Also,
the ACE bandage should cover the entire upper, middle, and
lower breast. DO not wear it like a tube-top with cleavage
showing up top. After 72 hours, you can take the ACE wrap
off and shower. Your incisions should be covered with a water-tight,
clear bandage. If water gets in underneath, take the entire
bandage off and leave it open to air. There is surgical tape
over the incision line and these should stay on even in the
shower. After the shower, you should wrap your breasts with
the ACE bandage again. Absolutely no baths or swimming for
3 weeks. Showering is OK after 72 hours.
2. Take medications as directed. Do not take aspirin, anti-inflammatory
medications (Motrin, Ibuprofen, Alleve) or Vitamin E supplements
for 2 weeks after surgery.
3. No driving while under narcotic medications for pain.
4. Ask Dr. Dimitrijevic in your first follow-up visit regarding going
back to work.
5. You should sleep on your back for 2 weeks following surgery.
6. Avoid alcohol or cigarette smoking for at least 3 weeks
following surgery.
7. Call and make a follow-up appointment for 7 days following
surgery.
8. Do not raise your arms over the level of your shoulder
for 3 weeks. Do not pick up objects heavier than a phone book.
9. Bring a sports bra to your first follow-up visit. You
will be able to wear a sports bra after Dr. Dimitrijevic examines you
in the office. NO underwire bras for 3 weeks.
10. Your breasts will be high-riding, giving you lots of
upper breast cleavage in the first 3 weeks, but the breast
implants will settle over the first 3-6 weeks to a more natural
position.
11. Do not apply a heating pad over your breasts. Portions
of your breasts will be numb and you may get a burn from the
heating pad. Cold packs in the first 48 hours following surgery
is OK and may help to keep the swelling down. Apply cold packs
over the ACE wrap, not directly over the breasts and nipples.
12. Scar therapy for your incisions will start at 2 weeks
following surgery. Dr. Dimitrijevic will instruct you regarding scar
creams.
13. Keep your incision out of the sun. Sun exposure will
make your scars red, raised, and persistently irritated for
a long period of time. Make every effort to avoid the sun
for up to 1 year following surgery. You can cover up the incision
with sun screen (SPF 15 or above) or clothing.
14. You may return to normal activity and exercise at 3
weeks following surgery.
15. You may feel “funny”, tingling sensations over your
breasts a few weeks after surgery. It may affect one breast
more than the other. This is normal recovery of some sensory
nerves in your breasts.
16. If you are constipated, take over-the-counter laxatives.
You do not want to strain over the toilet. This may lead to
your blood pressure rising and cause bleeding.
17. Call with any questions or concerns. Dr. Dimitrijevic is available
through the office phone number 24/7. Don’t ever feel badly
about calling.
18. Report to Dr. Dimitrijevic immediately if: A temperature of 38
degrees or above, excessive bleeding, excessive pain, enlargement
of one breast associated with increased pain, bruising, and/or
tightness.
Check photography before and after intervention.
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