The main conditions for a speedy recovery after augmentation mammoplasty are moral preparation, strict adherence to the doctor's recommendations and a positive attitude. The rules and restrictions that surgeons must follow will reduce the risk of side effects and drug therapy will alleviate the condition and improve the outcome.
Complications caused by wound infection can appear in 1-2 weeks: increased swelling, severe pain, fever.
In patients suffering from bleeding disorder, in the first 3 weeks allow physical activity or remove the compression underwear, hematomas appear.
Gland injury, pleural girdle load, running, flexion can provoke torsion, implant torsion.
In women with a lack of glands, adipose tissue, visualization, endoprosthesis probing, waving (skin waving) is possible. Such defects are corrected by lipofilling.
After 3-12 months are diagnosed:
- capsular contractures (fibrous membrane stiffening);
- asymmetry of glands, nipples;
- lymphatic fluid stagnation (seroma);
- hypertrophic, keloid lesions;
- anaplastic lymphoma (about 100 cases / 1 million surgeries).
Time frame of the recovery period
The complexity and duration of rehabilitation depends on the degree of complexity of mammoplasty. After a simple augmentation with implants, women recover faster and easier than after complex endoprosthetics combined with lifting, removal of excess tissue.
The wound heals after surgery in 5-7 days. Implants take root within 8-10 weeks. A new breast is formed up to six months. To control the dynamics of wound healing, to identify complications, the surgeon performs scheduled examinations.
The outcome of surgery 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 needs to know how to behave, what sensations are the norm and what are a deviation.
The first week after surgery
The first day the patient is in the intensive care unit. The effects of anesthesia are felt: weakness, drowsiness, vomiting. The pain in the chest area is dull in nature. To alleviate the condition, analgesics are prescribed. At the end of the first day they are allowed to walk. On the second day, they release an extract.
The first 3-6 days are the norm:
- temperature rise to 37. 9 degrees;
- a feeling of tension, fullness in the mammary glands (the larger the volume of the endoprosthesis, the stronger the sensations);
- edema, hematoma (the appearance of new hematomas, an increase in the size of the edema is an alarming symptom);
- loss of skin sensitivity in the nipple area, lower pole.
A compression bra is required. It is impossible to remove underwear for 30-45 days even at night. It is necessary to show up for clothing on the days prescribed by the doctor. It is forbidden to raise your hands up, sleep on your side and stomach, bath, lift items weighing more than a few kg.
The second week after surgery
Starting on the 6th day, the pain and discomfort disappear. Sutures are removed on day 7-10. The swelling continues, invisible under the linen.
The chest enjoys the volume. Women can go to non-manual work, do simple housework.
In order for the implant to maintain its proper position for a month after breast augmentation, it is impossible:
- walk, sleep without compression underwear;
- lie on your stomach, on your sides;
- bend forward, downward;
- jump and run, place a load on the shoulder girdle, press;
- weight lifting;
One month after surgery
After 4 - 6 weeks, the swelling of the glands is slightly visible or disappears. There is itching, tingling sensation, slight pain in the scar area.
Women lead a normal life: go to bed without underwear, take a warm bath, take long walks. The compression bandage, with the doctor's permission, is replaced with a corded bra, a sports ball.
Yoga and Pilates courses are allowed. At home they make a slight warm-up, avoiding movements that cause pain and discomfort. Walking loads are not contraindicated. The mammary glands must be protected from shock, pressure, vibrations. Still can not overheat, sunbathe, fly.
More than a month after implant placement
Most restrictions are removed after 60-75 days. During this period, a capsule forms, the chest muscles adapt to the endoprosthesis. The risk of dislocation, fist implants is reduced.
From the third month, you are allowed to sleep on your stomach, relax in the sauna, on the beach, do bath procedures. You can pump the press, do leaning, do aerobics, health walking on the street or a treadmill. The doctor will allow running, jumping in 4 - 5 months, power loads - in six months.
You can do sports in the first year only with a tight sports ball. Gland trauma should be avoided throughout the implant placement period.
Medications, medications, diet to shorten the rehabilitation period
In the first week, patients come to the clinic to get dressed, then take care of their breasts themselves. The doctor prescribes:
- antibacterial, antifungal therapy (7-10 days);
- antiseptics for the treatment of sutures (excellent green solution, iodine, antiseptic solution for 15-20 days).
When the crusts detach, the wounds are smeared with wound healing agents. Depending on the stage of recovery, surgeons recommend anti-inflammatory and antimicrobial ointments.
When buying a bra, you should choose models with wide straps, deep cups. To make your breasts heal faster, include in your diet a large amount of protein foods: fish, poultry, cottage cheese. Eat fresh vegetables and fruits, dishes with gelatin (aspic, jelly), containing zinc, peanuts, pine nuts, beans.
Frequently asked questions, answers to them
I want to decide on surgery but do not know what to expect?
You will see the aesthetic result on the monitor screen after 3D modeling. After the procedure, the pain is insignificant, discomfort is felt in the first 5 days. If you follow the restrictions, process the sutures correctly, within two months you will be able to admire the new shapes, forgetting the operation.
Do bad habits (smoking, alcohol) affect the rehabilitation process?
Alcohol use, nicotine causes vasospasm, which leads to insufficient supply of oxygen to the tissues. After each cigarette, the dishes remain tight 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 any restrictions?
You can go to the gym from the fifth week, but you will need to limit yourself to walking on a treadmill, press exercises, leg muscles. Yoga, Pilates are allowed. Running on the track, dumbbell exercises are available after 4 to 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, anxiety, pain do not contribute to the awakening of sexual desires. By the end of the first week, you can and should have sex. It is necessary to protect the chest from pressure, vibration. Choose positions in which the man is behind, rest your hands on a firm support to reduce body shaking, and have fun.
Tell us about the rules of rest 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 can not find on the Internet a detailed description of the implementation of hygiene procedures during the rehabilitation period. Can you give me some advice?
Taking a shower is allowed for 3-4 days. The water temperature is 36 degrees. The seam can be wet, but you can not touch it with your hands, a washing cloth. Use baby soap, gel with neutral pH. After washing, you should treat the scar with an antiseptic, apply a bandage, wear compression underwear. After 30 days, a warm bath is allowed.
My job involves frequent business trips. Is it possible to travel frequently on air travel?
The air travel ban is lifted after 90 days. Frequency of flights is not limited.