First Day Instructions
- Dr. Yates will contact you through the symplast app. Send Dr. Yates photos and any questions.
- MEDICATIONS - follow the medication instructions. Take the antibiotics until they are gone unless there is reason not to. Neurontin (Gabapentin) is helpful for nerve pain but not absolutely necessary if you find it is too sedating. Stool softeners should be taken if there are any concerns of constipation. Treat constipation aggressively, even with suppositories if you haven't had a bowel movement within a couple of days of surgery. Avoid narcotic pain medications as able preferring either Ibuprofen or Celebrex and Tylenol. NO marijuana while on pain medications.
- ACTIVITY - Get up and walk
- EXERCISE - Refrain from lifting over 10 lbs and significant upper body activity for THREE weeks.
- Full exercise will resume at SIX weeks with submuscular implants and 4 weeks with above the muscle implants
- SLEEPING - on your back is encouraged for 3 weeks, some patients feel more comfortable propped up
- Limit side sleeping for 3 weeks.
- Avoid lying on the stomach for at least 6 weeks (this sleeping position is not ever preferred with implants)
- BRUISING AND SWELLING - are normal and may last for days to weeks
- A small amount of incisional bleeding is normal
- A severe amount of bruising or swelling can be a sign of a HEMATOMA and should be reported to Dr. Yates
- SUTURES are all internal and will not require removal.
- TAPE or GLUE - The tape or glue on the incision should be left alone.
- BATHING - You can take the bra and push down ace bandage off to shower. Water directly over incision is fine
- BRA - The supplied bra is ideal for support without "push-up" or underwire. We will ask you to wear this bra for 3-6 weeks.
- MASSAGE - No implant massage necessary unless specifically directed by Dr. Yates (unlikely)
- FOLLOW UP - Your next visit is at three weeks. In-person or online.
Additional instructions for submuscular (below the muscle) implants.
- If you feel muscle tightness, “row” the arms
- The ace bandage should be above implants and below armpits. Comfortably snug
- The ace bandage is to be worn for three weeks
- "High and tight" implants are common for the first few weeks
Three-Week Instructions
- Remove incision tape if it has been applied. A small amount of rubbing alcohol over the tape can help loosen it if it is very adherent.
- Keep your Symplast app notifications on and reply to the 3 week follow up text. You will be asked to include progress photos (front and scars) and any questions
- Begin scar cream provided by Dr. Yates. A very thin layer is all that is necessary which should last for 2 - 6 months
- You may soak in a bath, pool, or hot tub so long as the incisions are closed and doing well
- You may wear a bra of your choice but don’t buy too many until you are closer to the final size after the 6-week point
- You may start to sleep on your side
- Continue to wear bras at night for support (for at least 6 weeks although for the cautious it is wise to wear bras to bed every night to protect your investment)
- You are able to resume physical work and moderate exercise
- Full exercise at 6 weeks for submuscular implants, 4-6 weeks for subglandular implants.
- The breast size may be still a little swollen but nearing the final size
- Areas of numbness, shooting pains, and discomfort are common. Let Dr. Yates know if they are significant
- If you feel you have been treated with exceptional care, leave a review!
- Your next standard follow-up, online or in-person, is at 3 months.
Additional instruction for submuscular implants
- You no longer need your push down ace bandage
- Caution with bodybuilding the pectorals after recovery. Strong muscles can push submuscular implants to the sides.
Three-Month Instructions
- You have no limitations. Check-in with Dr. Yates with photos and any questions
One-Year
- You have no limitations. Check-in with Dr. Yates with photos and any questions
- Return to the office for postoperative photos
- You will plan to replace your implants before 20 years! Preferably in the 10-15 year range
- Leave a kind review
- If you are brave, send us a fun bikini photo to share on our “real patient gallery” on the website. This can be anonymous or include your face, your choice.
