The main conditions for a quick recovery after augmentation mammoplasty are moral preparation, strict compliance with the doctor's recommendations and a positive attitude. The rules and restrictions that surgeons need to abide by will reduce the risk of undesirable consequences, and drug therapy will alleviate the condition and improve the outcome.
Complications caused by wound infection may appear in 1-2 weeks: increased swelling, severe pain, fever.
In patients suffering from a bleeding disorder, in the first 3 weeks they allow physical activity or remove compression underwear, bruising appears.
Injuries to the glands, loading of the pleural girdle, running, flexion can cause rotation, rotation of the implant.
In women lacking glandular, fatty tissue, visualization, probing of the endoprosthesis, dimple (skin dimpling) is possible. Such defects are corrected by lipofilling.
After 3 - 12 months are diagnosed:
- capsular contracture (hardening of the fibrous membrane);
- asymmetry of glands, nipples;
- stagnation of lymphatic fluid (seroma);
- hypertrophic scars, keloids;
- anaplastic lymphoma (about 100 cases / 1 million operations).
Recovery period schedule
The complexity and duration of rehabilitation depend on the degree of complexity of the mammoplasty. After a simple augmentation with implants, women recover faster and more easily than after complex endoprostheses combined with a facelift, the removal of excess tissue.
The postoperative wound heals in 5-7 days. Implants take root within 8-10 weeks. A new breast is formed within six months. To control the dynamics of wound healing, to identify complications, the surgeon performs scheduled examinations.
The result of the operation by 30% depends on the experience and knowledge of the doctor. 70% of the result is formed by the correct behavior of the patient. A woman must know how to behave, which sensations are the norm and which are a deviation.
First postoperative week
On the first day the patient is in the intensive care unit. The effects of anesthesia are felt: weakness, drowsiness, nausea. Pain in the chest area is dull in nature. To alleviate the condition, pain relievers are prescribed. At the end of the first day, they are allowed to walk. On the second day, they issue an extract.
The first 3 to 6 days are the norm:
- temperature increase to 37. 9 degrees;
- feeling of tension, fullness in the mammary glands (the greater the volume of the endoprosthesis, the stronger the sensations);
- edema, bruising (the appearance of new bruises, an increase in the size of the edema is an alarming symptom);
- loss of skin sensitivity in the area of the nipples, lower pole.
A compression bra is required. It is impossible to remove underwear for 30-45 days, even at night. It is necessary to attend for dressings on the days indicated by the doctor. It is forbidden to lift your hands, sleep on your side and on your stomach, take a shower, lift objects weighing more than two kilos.
Second postoperative week
From the 6th day, the pain and discomfort disappear. The sutures are removed on the 7-10th day. The swelling persists, invisible under the linen.
Chest pleases with volume. Women can go to non-physical work, do simple housework.
In order for the implant to maintain the correct position for a month after breast augmentation, it is impossible:
- walk, sleep without compression panties;
- lie on your stomach, on your side;
- lean forward, down;
- jump and run, put a load on the shoulder girdle, press;
- to lift weights;
One month after surgery
After 4 to 6 weeks, the swelling of the glands is barely noticeable or disappears. There is itching, tingling, mild pain in the scar area.
Women lead normal lives: they go to bed without underwear, take a hot shower, go for long walks. The compression bandage, with the doctor's permission, is replaced by an underwired bra, a sports bra.
Yoga and Pilates classes are allowed. At home, they do a light warm-up, avoiding movements that cause pain and discomfort. Leg loads are not contraindicated. The mammary glands must be protected from shock, pressure, agitation. Still can't overheat, sunbathe, fly.
More than a month after implant placement
Most restrictions are removed after 60-75 days. During this period, a capsule is formed, the pectoral muscles adapt to the endoprosthesis. The risk of displacement, impact of implants is reduced.
From the third month onwards, it is allowed to sleep on your stomach, relax in the sauna, on the beach, take a shower. You can pump the press, do inclines, do gymnastics, street health walk or a treadmill. The doctor will allow jogging, jumping in 4-5 months, energy loads - in six months.
You can play sports in your first year just with a tight sports bra. Traumatization of the gland must be avoided during the entire period of implant use.
Medicines, drugs, diet to shorten the rehabilitation period
In the first week, patients come to the clinic to get dressed, then take care of the breasts on their own. The doctor prescribes:
- antibacterial and antifungal therapy (7-10 days);
- antiseptics for the treatment of seams (bright green solution, iodine, antiseptic solutions for 15-20 days).
When the scabs come off, the scars are smeared with wound healing agents. Depending on the stage of recovery, surgeons recommend anti-inflammatory and antimicrobial ointments.
When buying bras, you need to choose models with wide straps, deep cups. To make the breast heal faster, include in the diet a large amount of protein foods: fish, poultry, cottage cheese. Eat fresh vegetables and fruits, gelatin dishes (aspic, jelly) containing zinc, peanuts, pine nuts, beans.
Frequently asked questions, answers to them
I want to decide on the operation but don't know what to expect?
You will see the aesthetic result on the monitor screen after 3D modeling. After the procedure, the pain is negligible, discomfort is felt for the first 5 days. If you follow the restrictions, process the seams correctly, then in a few months you will be able to admire the new shapes, forgetting about the operation.
Do bad habits (smoking, alcohol) affect the rehabilitation process?
The use of alcohol, nicotine causes vasospasm, which leads to insufficient oxygen supply to the tissues. After each cigarette, the vessels remain contracted for up to 90 minutes. In patients who smoke, drink alcohol, rejection, tissue necrosis occurs three times more often.
I go to the gym quite often. Are there restrictions?
You can go to the gym from the fifth week, but you will have to limit yourself to walking on a treadmill, press exercises, leg muscles. Yoga, Pilates are allowed. Track running, dumbbell exercises are available after 4-6 months. Professional bodybuilding and weight lifting are prohibited for women with implants placed under the pectoral muscle.
Sex is important to me. Is it possible to have an active sex life during rehab?
In the first three to five days, discomfort, pain does not contribute to the arousal of sexual desires. From the end of the first week, you can and should have sex. It is necessary to protect the chest from pressure, shaking. Choose positions where the man is in the back, place your hands on a solid support to reduce body sway, and have fun.
Tell us about rest rules after surgery?
The doctor recommends resting in a semi-sitting position for the first three days. For 20-30 days, you can only sleep on your back.
I cannot find on the Internet a detailed description of the implementation of hygiene procedures during the rehabilitation period. give me some advice?
Bathing is allowed for 3-4 days. The water temperature is 36 degrees. The seam can be wet, but you cannot touch it with your hands, a towel. Use baby soap, pH neutral gel. After bathing, you need to treat the scar with an antiseptic, apply a bandage, wear compression underwear. After 30 days, a hot bath is allowed.
My job involves frequent business travel. Is it possible to resort to air travel often?
The air travel ban is lifted after 90 days. The frequency of flights is not limited.