Breast Augmentation Surgery Instructions

BEFORE SURGERY


1.    Do not take any aspirin (including any medication containing aspirin) for seven days prior to surgery and two days after surgery because aspirin always interferes with normal blood clotting.  Do not take any prescription or over-the-counter anti-inflammatory medications for three days before surgery and for two days after surgery for the same reason.  These drugs are used primarily to treat inflammation, mild to moderate pain and fever.  Examples of these over-the-counter medications are Motrin, Advil, Aleve, etc.  Stop any Vitamin E and herbal supplements for three weeks before and one week after surgery.  Please check any multi-vitamin you may be taking.

2.    Smokers should stop smoking as far in advance of the surgery date as possible to minimize complications from the anesthesia to help minimize scarring.  Be sure to inform Dr. Oldham if you smoke.

3.    Immediately report any signs of a cold, infection, boils or pustules appearing within two weeks of surgery.

4.    Do not eat or drink anything (including water) after midnight. Also, refrain from chewing gum.

5.    Arrange for someone to drive you home after the surgery.  Someone will also need to stay with you the first night.

       6.  For two days before and morning of your surgery, cleanse your body with an anti-bacterial soap called Hibiclens (Chlorhexidine).  This is available at most drug stores. If Dr. Oldham has done pre-operative marking, do not use the soap directly on the marks and pat your skin dry over the marks instead of rubbing.  Do not apply the anti-          bacterial soap near your face, eyes or ears.  Do not use any lotion, moisturizer, make-up or other products on your skin.

AFTER YOUR SURGERY

1.    If your pain is mild take extra-strength Tylenol.  For more significant pain, take the prescription pain medication given to you by Dr. Oldham, but be sure to take it after eating to minimize nausea which is always a risk after taking any stronger pain medication.  Regardless of whether you are taking extra-strength Tylenol, the prescription pain medication from Dr. Oldham, or alternating between the two, it is important to wait four (4) hours between doses in order to avoid potentially harmful over-dose of Tylenol (Acetaminophen).

2.    Do not raise your arms straight over your head for three days after the surgery.  

3.  Since most strong pain medication causes some degree of constipation, it is advisable to start taking Colace 100mg. (an over-the-counter stool softener) on the evening of your surgery and then take one, twice a day each day after, until you are no longer taking pain medication and you are having normal bowel movements.

4.  If you normally have a bowel movement every day or two and you have not had a bowel movement approximately the third day after your surgery, you should take two tablespoons of milk of magnesia at bedtime.  If you do not have a bowel movement the following morning, take four tablespoons of milk of magnesia that morning.  


5.    You may remove the bra and gauze pads over the incision the day after the surgery and shower.  Simply replace the bra afterward without any gauze, but leave the Steri-strip tapes in place on the incision.  Continue wearing the surgical bra until your post-operative appointment.  

6.    Avoid strenuous activity for two weeks.  You may, however, do light exercise after four days, avoiding upper body and arm exercises for two weeks.  You may sleep on your back, of course, or you may sleep on your side if it is not painful to do so.

7.    Do not use cold, warm, or hot compresses on the breasts immediate after the surgery or for three months thereafter.  

8.    Avoid any exposure of your incisions to the sun for several months to prevent discoloration or redness of the scars (you may spend time in the sun if you apply a sunscreen often and 30 minutes before exposure).

9.    Make an appointment to return to the office approximately 3-4 days after your surgery.

10.    Some people experience brief episodes of depression or anxiety following surgery, similar to the well-known post-partum depression.  This is quite normal as your body adjusts to the physiological changes taking place.

    11.    You can expect:

•    To feel the implant in the lower one-third of the breast.  This is normal.
•    Some degree of asymmetry in size and shape if you have any pre-operative asymmetry.
•    One breast to be less uncomfortable than the other one.

To: Roger J. Oldham, M.D

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Roger J. Oldham, M.D

Phone: (301) 530-6100
Fax: (301) 530-6104