Delayed Post-mastectomy Autologous Tissue Breast Reconstruction

WHAT YOU SHOULD KNOW:

Post-mastectomy breast reconstruction is done after one or both breasts have been removed. Caregivers may wait until after radiation treatment is completed to reconstruct your breast. Caregivers will implant a flap of tissue taken from another part of your body to recreate your breast. The tissue may be made up of skin, fat, or muscle from your lower abdomen, upper back, buttock, or thigh.

AFTER YOU LEAVE:

Medicines:

  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

  • Pain medicine: You may be given a prescription medicine to decrease pain. Do not wait until the pain is severe before you take this medicine.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or surgeon as directed:

You may need to return to have your wound checked, drain taken out, and stitches removed. You may also need to see an oncologist for treatment. Write down your questions so you remember to ask them during your visits.

Self-care:

  • Rest as needed: Slowly start to do more each day. Return to your daily activities as directed.

  • Wound and drain care: When you are allowed to bathe, carefully wash the incision wound with soap and water. Dry the area and put on new, clean bandages as directed. Change your bandages when they get wet or dirty. Check your drain when you change your bandages. Do not pull it out.

Reconstruction:

After the incisions in the new breast have healed, you may have reconstruction of the nipple and areola. The areola is the dark circle around the nipple. The areola may be reconstructed with skin grafts, the part of the areola on the other breast, or by a tattoo.

Contact your primary healthcare provider or surgeon if:

  • You have a fever.

  • You have discharge or pain in the area where the drain was inserted.

  • You have nausea or are vomiting.

  • Blood soaks through your bandage.

  • Your skin is itchy, swollen, or has a rash.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You feel something is bulging out of your chest and not going back in.

  • You have pain in the chest or armpit that does not go away even after you take pain medicines.

  • There is blood, pus, or a foul-smelling odor coming from your incision.

  • Any part of your arm is numb, tingly, cool, blue, or pale.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • You suddenly feel lightheaded and short of breath.

  • You have chest pain when you take a deep breath or cough.

  • You cough up blood.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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