Pre & Postop Instructions

Breast Surgery

PREOPERATIVE INSTRUCTIONS

Hospital Admission

The hospital will call you before your surgery to confirm your fasting instructions and admission time. You will receive regular emails before and after surgery so please make sure you check your junk folder!

Our women only Facebook support group is a great place to connect with other ladies undergoing surgery!

FB Support Group

SHOPPING LIST

  • Zip up / button up tops
  • Laxatives
  • Boomerang Pillow
  • Panadol
  • Baby Wipes
  • Arnica tablets

You will be fitted with a postop bra after surgery, Additional bras can be purchased through the clinic via our online store.

Online Store

Before Surgery

  • All women ages 40 years + will need a routine mammogram before surgery
  • Removal & replacement of implants will require an ultrasound and/or MRI to determine condition of implants as instructed by your surgeon
  • If results are not received at least 2 – 3 weeks in advance, surgery will be postponed at your expense
  • No smoking (ideally 12 weeks before and after surgery)
  • No dental work: teeth cleaning & filings
  • No cosmetic injections
  • No laser hair removal treatments
  • No body tattoos
  • Remove body piercings, including nipples
  • Consent forms due
  • Outstanding accounts due
  • Organise a support person to pick you up and stay with you 24 hours after surgery
  • Implant sizes are finalised
  • Discontinue ALL non-prescription medication (including multivitamins and herbal products)
  • Discontinue ALL diet medications- including shakes, thermogenic products, and duromine (phentermine)
  • No blood thinning medications, including: Aspirin, Ibuprofen (e.g. Nurofen), Non-Steroidal Anti-inflammatory, Vitamin E, Gingko Biloba or Fish Oil
  • No illegal drugs
  • You CAN continue to take the contraceptive pill
  • No alcohol
  • Report any signs of infections, colds, rashes, or skin sores
  • If you have ANY respiratory symptoms – notify the clinic
  • No spray tanning/ remove ALL traces of tan to prevent infection
  • If you require a medical certificate: email the clinic with exact days. For example: 24.3.2021 – 24.04.2021

Preoperative Appointment

You will require a preop appointment in the week leading up to your surgery. This appointment will take place in our clinic. During this appointment you will have your complimentary Healite treatment.

Out of Town Patients will confirm their implant sizes and have their images taken. Use the link below to schedule this appointment.

This should be booked within 7 days of your surgery.

Book Preoperative Appointment

  • Remove acrylic nails, nail polish/shellac off 1 finger each hand
  • Eyelash extensions may be left on
  • Wash your hair
  • Follow fasting instructions given to you by the hospital: NO eating or drinking anything after midnight. Regular prescription morning medication may be taken with a small sip of water
  • Shower with the preop wash
    Apply wash to your entire chest, abdomen, underarms
    Apply from the neck down, do not use on face or genitals
    Clean in circular motions for 5 minutes using gentle pressure
    Turn the water off. Leave the product on the skin for 5 minutes
    Rinse thoroughly
    Do not use any other wash over the area
    Pat dry with a clean, soft towel
  • Do not apply anything to the skin: lotion, powder, deodorant, perfume
  • Remove all jewellery and piercings
  • Wear clean, loose and comfortable clothes, ideally a button up or zip up top
  • Brush your teeth
  • No contact lenses
  • Visit a bathroom prior to admission to theatre
  • Bring a pillow in the car to hold against your chest on the drive home

POSTOPERATIVE INSTRUCTIONS

AFTER HOURS EMERGENCY MOBILE

0447 158 040

Calls only, no text messages

If you are unable to reach our nurse and believe you may be experiencing a medical emergency contact 000

WHAT IS A MEDICAL EMERGENCY?

  • Significant pain after taking all prescribed pain medication
  • Persistent vomiting
  • Excessive redness, swelling, bleeding (usually one sided)
  • A temperature over 37.8° C

After Surgery

  • No showering for 5 days. After 5 days, avoid wetting the dressings, dry with a hairdryer on a low heat setting. If dressings get overly wet, you will need an earlier dressing change
  • Do not massage your breasts
  • Do not put anything on your breasts: ice, heat, creams etc
  • You may experience giddiness, tiredness or mild nausea
  • Eat healthy food and drink plenty of fluids
  • Rest for maximum healing
  • Do not drink alcohol for 1 week
  • Do not drive for 1 week
  • You may resume all supplements ceased after 2 weeks
  • No smoking for at least 6 weeks
  • It is normal to hear strange gurgling, sloshing sounds
  • Breasts should be treated as separate body parts: one may heal faster than the other, they will probably be uneven in early recovery
  • It will take at least 3 months before the swelling starts to subside and they EVEN UP
  • It may take 1 year to see the final results of your surgery
  • Textured Implants: Don’t lift arms above shoulder height for 2 weeks
  • Motiva / Smooth Implants: Don’t lift arms above shoulder height for 4 weeks
  • Don’t lift or push anything heavier than 5kg for 6 weeks
  • After 6 weeks this can be increased by 5kg per week as comfort permits
  • Week 0 – 1: Sleep and rest in an upright position on 2-3 pillows
  • Week 2 – 3: You may sleep flat on your back
  • Weeks 3 +You may sleep on your side
  • No stomach sleeping for 6 months
  • 0 – 6 weeks: wear your bra 24/7 – it should feel firm, but it’s not a sports bra and should not feel as tight as one
  • 6 – 8 weeks: wear a firm fitting, sports bra with NO underwire or padding during the day and your postop bra at night
  • After 8 weeks (pending review): no bra, strapless bras, bras with underwire may be worn
  • After 3 months: padding may be worn
  • If you have Motiva implants you are required to wear your postop bra for 3 months
  • Your implants will keep their shape and last longer if you wear a bra the majority of the time
  • No exercise or submerging your body under water for 6 weeks, no exceptions
  • Week 1: Gentle walking only – the pace you would walk around a shopping center
  • Week 6 (pending review): exercise, gym work, running, swimming
  • 3 Months: contact sports: surfing, horse riding, netball, scuba diving, gun range, ski diving, roller coasters, bowling
  • 6 Months: Crossfit style exercising, MMA fighting, pole dancing
  • Sexual intercourse: may be resumed after 6 weeks, no mouth to nipple contact for 3 months to prevent infection
  • Cosmetic Injections: resumed after 2 weeks
  • Dental Work: resumed after 6 weeks – advise your dentist you have implants as you may require prophylactic antibiotics to prevent infection
  • Laser Hair Removal: body resumed after 6 weeks, no laying on your stomach for at least 6 months, underarms resumed after 3 months
  • Tattoos: body tattoos resumed after 6 weeks, breast/ torso resumed after 6 months
  • Piercings: body piercings resumed after 6 weeks, NO nipple piercings due to infection risk
  • Massage: resumed as comfort permits, no laying on your stomach for at least 6 months
  • Tanning: resumed after 4 weeks. Cover incisions and nipples with tape for at least 3 months to prevent infection
  • Sauna: 6 weeks after surgery (provided incisions have healed)
  • Cool Sculpting/ Body Sculpting: stomach resumed after 3 months, body resumed after 6 weeks, no laying on your stomach for at least 6 months
  • ALL patients will require a dressing change at week 1, 2, and 3
  • In summer we see an increase in infections due to the heat. If you get HOT or SWEATY you will need to arrange an earlier dressing change
  • Some patients may have an external suture knot underneath one or both breasts: this will need to be trimmed at the base at Week 2
  • You MAY experience some discomfort at your week 1 dressing change, take your pain medication prior to reduce this
  • Breast Lift Patients: (with or without implants) require areola stitch removal at Week 2: This does not hurt!
  • All dressing changes in clinic are performed by our nurse on Thursdays only
  • We will provide you with a Dressing Change Letter to give to your GP – please make sure you read this letter yourself! Unfortunately some GPs do not read the instructions properly
  • You will have a Virtual Appointment with your surgeon at Week 1

View Your Dressing Change Letter

Postoperative Appointment

All patients will have scheduled postoperative appointments with their surgeon at 6 weeks, 3 months, 6 months (optional), and 12 months (optional). If you know your schedule you can book these appointments in advance!

Book Your Dressing Changes & Postop Appointments

After your last scheduled dressing change you will look after your incisions yourself using Micropore (the brown or white roll of tape), please advise us in advance if you have any tape allergies!

  • Wash hands thoroughly
  • Remove dressings in the shower, rinse with tepid water
  • Pat dry with a clean towel
  • Snap a pic and email through to us for review: info@inigocosmetic.com.au
  • Cover with the Micropore
  • Change tape every 5 days, or as required (changing it too often may irritate the skin)
  • Continue use until your 6 week appointment
  • If you notice any discharge or redness contact the clinic ASAP

For information on scarring and how to care for your incisions after 6 weeks refer to our Surgery & Scarring Guide

Scarring After Surgery – The Complete Guide

MEDICATION INSTRUCTIONS

Unless otherwise stated, you will be provided with scripts for cephalexin, oxycodone, ondansetron & celecoxib. Paracetamol is bought over the counter

  • ANTIBIOTIC: Cephalexin 500mg 4 times per day(every 6 hours) until finished
  • PAIN RELIEF: Paracetamol 1000mg 4 times per day (every 6 hours)
  • ANTI-INFLAMMATORY: Celecoxib 100mg 2 times per day (every 12 hours)
  • STRONG PAIN RELIEF: Oxycodone 5 or 10mg every 4 hours IF needed
  • ANTI-NAUSEA: Ondansetron 4mg every 4 hours IF needed
  • It is important to take the antibiotics as prescribed until finished to decrease risk of wound infection and implant rejection
  • We recommend that you take paracetamol REGULARLY with the antibiotics for at least the first 5 days
  • Paracetamol & Celecoxib work together in different ways to give you pain relief so it’s important to take them for this initial period, you can continue to take them for up to 10 days IF required
  • Oxycodone is an opioid pain killer. You should take this type of medication ONLY if you have severe pain AFTER taking paracetamol & celecoxib
  • Do NOT take the oxycodone on its own without taking regular paracetamol & celecoxib as they all work in different ways to control pain
  • Oxycodone can cause constipation: ensure a high fibre diet with plenty of water. You may ask the pharmacist for a stool softener
  • Oxycodone can impair your function (driving) when you first start taking it. If you don’t usually take oxycodone, please be aware this may affect you more
  • Antibiotics and oxycodone may cause nausea. Take both with food. Don’t take these medications together (try to space out by 30mins or so). An ondansetron wafer may relief nausea

Long term use of Oxycodone (over 2 weeks) may lead to addiction & dependence Please DISCARD any unused oxycodone after 2 weeks – you can drop it into the chemist or clinic for proper disposal