Breast Reduction Surgery Instructions
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. If you are using birth control pills or hormone replacement therapy (for example, Premarin), discuss this with Dr. Oldham as it may be necessary for you to temporarily discontinue these 2 weeks prior to your surgery.
2. Smokers should stop smoking at least 48 hours prior to surgery, especially if a general anesthesia is to be used. Be sure to inform Dr. Oldham if you smoke.
3. Arrange for someone to drive you home after the surgery. Someone will also need to stay with you the first night.
4. For two days before and the morning of your surgery, cleanse your body with an anti-bacterial soap called Hibiclens (Chlorhexidine). If Dr. Oldham has done pre-operative marking, do not use the soap 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 lotion, moisturizer, make-up or other products on your skin.
5. Do not eat or drink anything (including water) after midnight. Do not chew gum after midnight the night before your surgery.
AFTER YOUR SURGERY
1. Do not use warm or hot compresses on the breasts.
2. Do not raise your arms over your head for five days after the surgery.
3. You may notice a small amount of blood at the incision line, this is normal.
4. 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.
5. 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.
6 Forty-eight hours after the surgery, you may shower after removing the surgical bra and padding. Do not remove the steri-strips covering the sutures at this time. After the shower, simply replace the bra and wear it at all times.
7. Avoid strenuous activity for two to three weeks. You may, however, do light exercise after one week, avoiding upper body and arm exercises.
8. As long as there is any pinkness in the incisions, avoid any exposure to the sun to prevent permanent or prolonged discoloration and redness.
9. Make an appointment to return to the office approximately a week after the surgery, and again approximately one month later.
10. We recommend a baseline mammogram one year following your surgery to which any future mammogram can be compared.
12. 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 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).