Breast reduction surgery, for many, represents a step towards greater physical comfort and a more proportionate body silhouette. In recent years, more and more Australians are choosing this surgical option, making it a popular choice for those seeking relief from back pain, skin irritation, and other issues caused by disproportionately large breasts. However, as with any surgical procedure, there are some post-operative challenges to navigate, including how to reduce swelling and bruising after breast reduction surgery. While these are natural reactions of the body to the surgery, it’s understandable if they cause you some worry.
In this blog, Specialist Plastic Surgeon Dr Carmen Munteanu will guide you on understanding these concerns and offer practical advice on how to manage and reduce them.
Whenever you experience an injury, your body has a set of reactions that kick into gear. In the case of surgery, even though it’s controlled and intentional, your body recognises it as a form of trauma. As a result, you’ll notice inflammation, which is simply your body’s way of sending more blood and immune cells to the area to start the healing process. This is why the area might feel warm or look red.
Swelling, or oedema, is the accumulation of fluid in the tissues. It’s your body’s way of cushioning the surgical area to protect it during the early stages of healing. On the other hand, bruising is caused by small blood vessels, or capillaries, that may break during the surgery. The blood from these vessels leaks into the surrounding tissue, causing a discolouration that can range from blue and purple to yellow and green as it heals.
Remember, both swelling and bruising are normal signs that your body is actively working to heal itself. It’s like when you accidentally bump your arm or leg and notice a bruise forming. It’s the same principle, just on a larger scale due to the nature of the surgery.
For most people, swelling peaks around two to three days after the surgery. After this, it should gradually decrease each day. By the end of the first week, you might notice a significant reduction, but some mild swelling can persist for a few weeks or even a couple of months.
Bruising, on the other hand, often appears worst during the first week. It then starts to change colour as it heals, moving from deep purple or blue shades to lighter yellows and greens. By the third week, most of the bruising should have faded. However, everyone’s body is different, and healing times can vary.
In all stages of recovery, it’s essential to follow your plastic surgeon’s advice and not to compare your healing process too closely with others. Each body is unique and will have its own timeline for recovery.
While every procedure has its challenges, understanding them can help you make an informed decision. Make sure to ask about the recovery process even from the initial consultation with the plastic surgeon. Knowing what to expect post-surgery can set you up for a smoother healing period.
Preparing your body for surgery is a bit like getting it ready for a big athletic event. The better shape you’re in, the better the outcomes are likely to be. Here are some general guidelines:
Dr Carmen knows the ins and outs of the procedure you’ve just had. She has seen many recoveries and understands what works best. When you’re handed post-operative instructions, think of them as your roadmap to recovery. These guidelines aren’t just suggestions; they’re tailored advice to ensure you heal well, avoid complications, and get the best possible results. Whether it’s about medications, activities, or wound care, make sure you stick to these directions closely.
The way you sleep after surgery can influence how quickly swelling subsides. Keeping your head and chest elevated can help reduce fluid buildup in the operated area. So, consider sleeping on your back with a few pillows propped behind you for support. Avoid sleeping on your stomach or sides for the first few weeks, as this can put unnecessary pressure on your breasts and potentially disrupt the healing process.
You will be given a compression garment or special surgical bra to wear after your procedure. This isn’t just a regular piece of clothing; it plays a key role in your recovery. The garment provides support to the surgical area, helping to reduce swelling and keeping everything in place as you heal. Additionally, it can also reduce pain and discomfort. Ensure you wear it as advised by Dr Carmen, even if it feels a bit snug or uncomfortable at first.
Using ice can be a simple yet effective way to manage post-surgery swelling. The cold narrows blood vessels, reducing the flow of blood and other fluids to the surgical area. Here’s how to use it:
Drinking water might seem like a basic daily task, but after surgery, it takes on added importance. Keeping well-hydrated helps flush out toxins from your body and can aid in reducing swelling. When your body is dehydrated, it tends to hold onto water, leading to more swelling. By maintaining a steady intake of water, you support your body’s natural healing processes and keep tissues well-nourished. Aim to sip water throughout the day, and if you’re unsure about the right amount, chat with your plastic surgeon or a nutritionist.
Certain foods and supplements have properties that can help reduce swelling and accelerate the healing process:
While some foods can be beneficial, others might slow down your recovery:
Lying down and resting is vital in the days immediately after surgery, but that doesn’t mean you should stay immobile for weeks. Gentle movement, like short walks around your home, can help stimulate blood flow, reduce the risk of blood clots, and may even aid in reducing swelling. These short, easy strolls can also boost your mood and give you a sense of progress in your recovery. Always listen to your body. If walking or any movement causes discomfort, take it easy and consult with your plastic surgeon about any concerns.
After surgery, it’s natural to wonder when you’ll see the final results, free of swelling and bruising. In the first couple of weeks post-surgery, you’ll likely notice a significant reduction in swelling. By the end of the first month, a lot of the swelling will have subsided, though some minor swelling might persist for up to three to six months. Bruising typically follows a quicker timeline, with most of the discolouration fading within the first two to three weeks.
It’s essential to remember that everyone’s body reacts differently, and healing can vary from person to person. So, while these timelines are general guidelines, your experience might differ slightly.
As with any surgical procedure, there may be some long-term considerations to keep in mind:
If you have any worries or notice anything unusual, it’s always a good idea to reach out to your plastic surgeon or a medical professional. They can provide guidance tailored to your unique situation.