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After Breast Reconstruction With Autologous Tissue
Call 911 for any of the following:
- You feel lightheaded, short of breath, and have chest pain.
- You cough up blood.
- You have trouble breathing.
Seek care immediately if:
- Blood soaks through your bandage.
- Your leg or arm is painful and looks larger than normal.
- Your stitches come apart.
- Your drain falls out or stops draining fluid.
- Your drain has pus or foul-smelling fluid coming out of it.
- Your breasts look pale, purple, or feel cold.
- You feel a hard lump in your breast.
Contact your healthcare provider if:
- You have a fever or chills.
- Your wound is red, swollen, or draining pus.
- Your pain does not get better after you take pain medicine.
- You have nausea or are vomiting.
- Your skin is itchy, swollen, or you have a rash.
- You have questions or concerns about your condition or care.
You may need any of the following:
- Antibiotics help prevent a bacterial infection.
- Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
- Antiplatelets , such as aspirin, help prevent blood clots. Take your antiplatelet medicine exactly as directed. These medicines make it more likely for you to bleed or bruise. If you are told to take aspirin, do not take acetaminophen or ibuprofen instead.
- 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.
Ask your healthcare provider when your incisions can get wet. You may need to take a sponge bath until your drains are removed. When you can shower, carefully wash around the incisions with soap and water. It is okay to allow the soap and water to gently run over your incision. Dry the area and put on new, clean bandages as directed.
Change your bandages when they get wet or dirty. It may feel more comfortable to place gauze over your incisions before you put on a bra. Check your incision every day for redness, pus, or swelling. Do not put powders or lotions on your incisions.
Monitor your flaps:
Check the temperature and color of your breasts every day. You can do this by gently pressing on one breast at a time. You should see your skin turn pale where you push on it and then pink when you let go. Your breast should feel warm but not hot.
Empty your drains as directed. You may need to write down how much fluid you empty from your drains each day. Ask your healthcare provider how to pin your drains to your bra or pants to prevent pulling. Your drains may be removed in 1 to 3 weeks. Ask your healthcare provider for more information about how to empty your drains.
Wear a supportive bra as directed:
You may be given a surgical bra or be told to wear a sports bra. A surgical bra has a zipper in the front and adjustable straps. A surgical bra or sports bra may help decrease swelling and pain. Ask your healthcare provider when you can wear a regular bra. You may not be able to wear a regular bra for 4 weeks. When your healthcare provider says it is okay, do not wear bras with lace or underwires. They may rub against your incision and cause discomfort.
Do not put stress on your abdominal incision:
Wear an abdominal binder as directed. An abdominal binder will help decrease the stress on your incision. It may also help decrease pain when you are out of bed. Do not lie flat in bed. Keep 1 pillow under your thighs and 1 under your head. This will keep your hips flexed and take stress off of your abdominal incision. Bend slightly forward from your hips when you get out of bed and walk. Ask your healthcare provider how long you need to do this.
Do not lift anything heavier than 2 pounds. Do not lift anything over your head. Do not push, or pull with your arms. Do not play sports or do vigorous activities. Do not have sex until your healthcare provider says it is okay. Start with short walks around the house. This may prevent blood clots and help with healing. Gradually walk further each day. Ask your healthcare provider when you can return to your normal activities. You may need to follow other instructions depending on where your donor site is.
Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Healthy foods will help your body heal from surgery. Ask if you need to be on a special diet. Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. Liquids will help prevent dehydration and blood clots. Do not drink caffeine for 4 weeks or as directed. Caffeine can shrink blood vessels and decrease the blood flow to the flaps.
Returning to work:
Your return to work may depend on the type of job you have. If your job does not require physical activity, you may be able to return in 4 to 6 weeks. If your job requires heavy lifting or physical activity, you may be able return in 8 to 12 weeks. Ask your healthcare provider when it is okay for you to return to work.
Ask your healthcare provider if you need home health services. This might include a nurse that visits you in your home to check your incisions and drains.
You may need physical therapy. It may be difficult or painful to use muscles at the donor site. A physical therapist teaches you exercises to help improve movement and strength, and to decrease pain. He may tell you do to arm exercises to prevent arm stiffness or weakness.
Nipple and areola reconstruction:
You can choose to have nipple and areola reconstruction. This may be done after your breast heals from the first stage of reconstruction. Talk to your healthcare provider about your options.
Follow up with your healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
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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.