Recovery After Fat Transfer to Breast
First day instructions
- Send Dr. Yates photos and any questions
- Get up and walk
- A fair amount of incisional bleeding and drainage is normal.
- Bruising and swelling are normal and will last for weeks
- Avoid lying on your stomach putting pressure on the breasts
- Sleeping on the back is preferred for 3 weeks
- GARMENT – You will wear the provided garment for three weeks
- GARMENT – The purpose of the garment is to provide firm but comfortable compression to the treated area.
- You can take the garment off to shower.
- GARMENT – As you remove the garment to shower, verify that there are no deep creases or irregularities in the skin caused by folds in the garment
- GARMENT – When replacing the garment make sure it is smooth on the skin surface
- FOAM – Sometimes Dr. Yates will apply a foam dressing under the garment. This should be worn for approximately one week
- FOAM – Foam is helpful to provide smooth compression to the area and minimize the effect of garment creases or folds
- FOAM – Purchase additional foam as desired
- AB Board – For patients who find they are seeing skin “creasing” when flexing at the waist an Ab Board placed above foam can reduce flexion
- Get off the pain medications as soon as possible
- Take antibiotics as prescribed
- Take stool softeners if you are taking any narcotics
- Take the single dose of Gabapentin if prescribed
- Stay hydrated
- Stay active, minimal bed rest is better for a safe and quick recovery
- Your next visit is at three weeks. In-person or online.
- MASSAGE of the surgical areas to promote drainage of fluid can start as soon as the first day if comfortable
massage
- Massage after liposuction can help decrease swelling. Whether this results in an improved final result is controversial and somewhat dependent on the specifics of the liposuction procedure
- Massage can begin as early as the first day after liposuction as tolerated
- The goals of massage are to help to drain swelling and fluid as well as promote healthy lymphatic drainage
- For most of Dr. Yates career, he hasn’t strongly recommended massage after liposuction. Since we started using VASER liposuction we have seen an increased need for massage and particularly recommend massage for our VASER liposuction patients. VASER liposuction uses ultrasound energy to liquify fat prior to removal. The theory is that some of this emulsified fat can “clog up” the lymphatic drainage system and contribute to swelling
- Massage is ideally performed under the direction of a massage therapist (preferably one trained in lymphatic massage). This can be started immediately and a typical protocol would be 2-3 x per week for 2 – 3 weeks.
- For a number of reasons, such as convenience or availability, some patients prefer to do this massage themselves
Professional massage
- This can be started as soon as the day after surgery, preferably within the first week
- The technique of massage after liposuction is quite different than a deep muscle massage and best performed by someone with an understanding of lymphatic massage. Here are a few local lymphatic massage therapists and their contact information. If you know of a qualified lymphatic massage therapist we should add to the list in Utah, Idaho, Wyoming, or Nevada please let us know. I have been told that at some Massage Envy locations, they have therapists who understand lymphatic massage and for our out of town patients, it is worth a call.
- Marty Tracy – Ogden, Utah. (801) 528-5066
- Maxine Kite – Layton, Utah (801) 499-6344
- Sherri Williams – SLC, Utah (801) 987-8786
Self-directed massage
- Massage can begin as early as the first day after liposuction as tolerated
- The goals of massage are to help to drain swelling and fluid as well as promote healthy lymphatic drainage
- To encourage drainage of the fluid press the palm of the hand on the treatment area and slide with gentle pressure towards the incisions. Lying on an absorptive pad is a good idea for this potentially messy situation.
- Possibly even more important than incision drainage is the promotion of healthy lymphatic drainage. Lymphatic drainage is different than incisional drainage. Lymphatics are the delicate tubes that drain swelling and fluid from the area back to the circulation. Lymphatics drain towards lymph nodes, these are mostly concentrated in the groin, axilla and neck.
- VERY HELPFUL – review lymphatic massage instructions. This 15-minute video is made by a licensed massage therapist and we’ve found it pretty helpful
- Step one – open up the lymphatic drainage pathways to the heart
- Step two – open up lymphatic pathways to the groin and axilla
- Step three – Move the fluid towards the lymph nodes
One week Instructions
- There will typically be a peak of swelling by about one week after surgery
- Areas of swelling may benefit from additional massage or garment position adjustments
- If there seems to be more swelling than expected or there are any questions, please send Dr. Yates a message including photos through the app
Three-week instructions
- Send Dr. Yates photos and any questions
- You are able to resume physical work and moderate exercise
- Full exercise at 6 weeks
- The liposuction areas are still a little swollen but improving
- Z wave therapy – For areas where the body is creating an excess of swelling we can consider extracorporeal shock wave therapy (Z wave).
- You may change to second stage garments at approximately 3 – 6 weeks. Examples of good second stage garments are Spanx, Flexees, Marena, or M&D. All can be found online.
- The goal of the second stage garment is swelling control and comfort. These can be worn as long as you would like but most patients find little advantage after 6 weeks.
- If you feel you have been treated with exceptional care, leave a review!
- Schedule an online or in-person follow-up visit at 3 months.
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
- Leave a kind review 🙂
- Share a bikini or similar photo for us to share on our “real patient” photo gallery:)
General Recovery Tips
Minimizing Bruising and Swelling
Bruising and swelling occur with almost every surgical procedure. Usually, the swelling lasts for only a few days to weeks. There are steps that can be taken before and after surgery to help minimize bruising and swelling… Read More.
Scars
Scars are the necessary trade-off of many plastic surgeries. The goal is a near-invisible, thin, skin-colored scar. Scars are ideally minimized by early attention but there are options for treatment of problem scars as well… Read More.
Stretch Mark Treatment
Stretch marks are the visible result of tears of the second layer of skin, the dermis. Stretch marks usually result from rapid stretching of skin, such as weight gain, or pregnancy. Treatment options for stretch marks such as removal, microneedling, and laser are available…. Read More.
Preparation for surgery
prepare your house for surgery
1-2 weeks before surgery you should have your childcare, work arrangements, and caretaker lined up. Depending on the procedure you may have a few recovery items on hand. Start with an organized, clean house and full pantry. If you are making meals, simple prep. meals and disposable dinnerware.
prepare your body for surgery
The weeks before surgery are a good time to maximize a healthy diet and stay on top of exercise. Yoga and heart-healthy exercises are particularly valuable. For almost every procedure stopping smoking 6 weeks before surgery is valuable. For some it is critical. Avoid excessive alcohol and marijuana prior to surgery as well.
Check your medications and supplements
Some medications such as aspirin, fish-oils and some supplements can contribute to bleeding and bruising after surgery. If you would like to take SinnEcch for bruising you would want to do so before surgery. The benefit is mild in Dr. Yates’s opinion but some patients swear by it.
Stay away from illness
Avoid getting sick, wash your hands frequently and avoid contact will people who are ill.
Time off Work and exercise
Check the procedure list below for the time you should plan to take off of work or exercise. With most procedures, office work and light exercise are OK between one to three weeks. For most procedures, there are no restrictions after six weeks.
Recovery Supplies
Dr Yates will give you most everything you need after surgery including garments, bra, scar cream, and dressings as indicated. A few recommended additional supplies are
- Bed that reclines, recliner, or extra bed pillows
- Icy Hot back patch
- Loose baggy clothes
- Paper tape 1″
- Ice packs
- Stool Softener
- Ginger Ale
- Antacid such as Tums
- Melatonin (not to be used with pain medications)
- Benadryl
- Cortisone cream
- Neosporin
- Probiotics or yogurt
- Second stage Spanx or Flexees for appropriate procedures
- Flexible straws for drinking
- Water bottles/ Gatorade
- Entertainment such as DVD or Netflix
- Cell phone charger near bed and sofa
