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Instructions After Your First Post-Operative Visit

  1. Your drains have been removed and your dressings changed. You may now shower. The white tapes covering the incisions may get wet. They will fall off on their own and do not need to be replaced. On occasion, a small area of skin will separate on the bottom in the middle of the breast after the tapes fall off. This is not an emergency and will be evaluated on your next visit. These wounds typically close in a few weeks.  Simply continue to shower daily with soap and water and cover with a gauze pad and Bacitracin.  These supplies may be purchased at your local pharmacy without a prescription.
  2. Apply gauze along with a small amount of Bacitracin (or any other over-the-counter antibiotic ointment) to the drain tube exit sites, and anywhere else along the incision that you notice drainage. This is normal.  . Treat it with daily showering, Bacitracin and a gauze pad once per day. It will be evaluated on your next visit. These areas will usually heal in a few weeks.
  3. You can expect swelling and bruising of the breasts. The amount of swelling and bruising varies with each individual.
  4. Please avoid all forms of nicotine for at least three weeks after surgery. Nicotine affects the blood supply needed for skin healing and may significantly increase the risk of post-operative complications. In general, be aware that smoking or the use of unauthorized medications can lead to complications and jeopardize the results of your surgery.
  5. Do not be alarmed if there are slight differences between your breasts with regard to size, shape, sensitivity of other characteristics. It may take several weeks to months to completely resolve.

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