Discharge Instruction – Breast Reconstruction

  • Post op care after breast reconstruction revision and/or ‘dog-ear’ excision:

    • Drain care:
      • Strip, empty, record output, and recharge. See instruction sheet.
      • Keep daily log of drain outputs for each drain separately.
        Call the office to schedule an appointment when drain out-put is less than 30 mL over 24 hours for two consecutive days for any drain. See log form.
    • Incision care:
      • If Dermabond (skin glue) used - leave open to air.
      • If Steri-Strips used - leave in place until they fall off.
      • If Tegaderm used – leave in place two weeks
    • Sports bra is optional, avoid underwire bra if there are incisions along the breast fold.
    • Sleep in the support bra and on several pillows for comfort.
    • Ok to shower.
    • Walk a lot, stairs are ok.
    • No strenuous activity for 1 week.
    • Take an over-the-counter stool softener (ex. Colace) while taking nar-cotic pain medicine.
    • If constipation becomes an issue take Milk of Magnesia or Miralax until bowel function normalizes. Both can purchased over-the-counter.
    • Do not drive while taking narcotic pain medicine.
    • Avoid NSAIDs (aspirin, ibuprofen, naprosyn, etc) for the first 48 hours after surgery.
    • If you are taking narcotics beyond 72 hours start taking ibuprofen (600 mg every 6 hrs) to wean off the narcotics.