• Post op care after Thigh or Gluteal flap breast reconstruction:

    • 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 output 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 in place, it will fall off.
      • If Steri-Strips used - leave in place until they fall off.
      • If Tegaderm used – leave in place two weeks.
    • Keep dry dressing over thigh/gluteal incision, some drainage should be expected.
    • Unless instructed otherwise, wear a sports bra (non-underwire bra) at all times for two weeks and during activities for 6 weeks. See bra summary form.
    • Ok to shower.
    • Avoid sitting, particularly for prolonged periods for the first two weeks.
    • Walk a lot, stairs are ok.
    • No strenuous activity for two weeks
    • Take an over-the-counter stool softener (ex. Colace) while taking narcotic 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
    • If you find yourself taking scheduled narcotics beyond the first week start taking ibuprofen (600 mg every 6 hrs) to wean off the narcotics.
    • Expect to be run down for the first 10-14 days. By the end of the second week energy levels should be greatly improved.