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Thursday, July 28, 2011

Recovery , Breast Aumentation



Breast augmentation recovery. How much time off work does breast implant recovery require? Will I be able to take care of my 2 children afterwards? When do scars really begin to fade? The more you can tell me the better

Answer:




Initially, you can expect to feel tightness and pressure if the implants are placed under the muscle. Pain medication and muscle relaxants can ease this. Only use as much as you need to reach a point of "tolerable discomfort." Trying to become pain free with medications is not possible and will only lead to taking too much of the drugs prescribed to you. Recovery from breast surgery depends on many factors including implant size and placement, patients pain tolerance to name a few.

For the first couple days, you will have tight discomfort around your chest, like you had engorgement from breast feeding.This tightness eases significantly over the first week and most patients are off medications by then. Returning to activities that elevate your heart rate and blood pressure is possible at the 6 week point after surgery.
After surgery you will have swelling in the upper pole of your breast.The swelling should be largely gone by 6 weeks and usually there is no bruising at all. The final size and appearance should be seen by 3 months
.Breast Augmentation has consistently been the most popular cosmetic surgery operation for multiple reasons; It is affordable, makes a great change in your appearance, boosts your attractiveness and self-confidence and does NOT have a prolonged down-time


Recovery in general for breast augmentation is a fairly carefree operation done as an outpatient procedure with general anesthesia. The patient can usually go home following the procedure and short recovery period. Most normal activity can be resumed in three to five days following surgery. I recommend my patients to refrain from exercise and getting their heart rate above 100 for at least six weeks following surgery. The patient can expect to be off work for three to five days immediately following the procedure. Indeed time away from work depends upon the physical activity requirements of your job
.If your implants are placed submuscular (under the muscle) then I suggest no gym for 6 weeks. Let the kids get up on your lap then take them from a sitting position. Don't lift them from a standing position because it's a little too much force on the pectoralis itself . If you have small children you probably want someone to be around to help you during the first few days.Don't plan to drive during 10 days ,especialy while you're taking the prescribed pain pills .
.Most patients who undergo breast augmentation are actually surprised to find that they recovery is smoother than anticipated. Younger clients in the 20-30 group tend to bounce back faster but still need to limit their aerobic exercise and heavy lifting for a four weeks after surgery. At 6 days at your follow-up appointment incisions are healed and you learn how to massage them for softnes

Conclusion
These are general observations and by no means exhaustive nor completely exclusive.
Home the same day of surgery. You may experience some nipple sensitivity for the first few weeks Any bruising typically resolves in the first 2 weeks
Days 1-4: Inflammatory period: Swelling, pain, discomfort. Early risk for bleeding in first 24 hours.This is the period that requires the vast majority of medication. Move arms (if allowed by surgeon to minimize spasm pain). Bruising may appear. Fluid retention is common .
Days 4-10: Generally OK to shower and get wounds briefly wet if permitted by surgeon. Belly may be swollen as the swellng moves down your body. Possible constipation due to pain meds. Pain tends to diminish during the day with less need for meds. However, pain tends to occur at night from 3-6am and is worse with submusclular placement. Bruising stable. Begin implant displacement exercises(massage) if permited by surgeon. Between 7-10 days be aware of signs of bleeding or infection
Days 10-21: lowered risk of infection and bleeding. Increased physcial activity such as low impact exercises avoiding upper extremity resistance excersises. Vast majority of initial capsule formation occurs during this period. Vast majority of swelling begins to subside. Occasional pain at night.
Nerves begin to wake up (resolving dysesthesias) and may cause "pins and needles" sensation to nipple area. Normal to have some areas of skin numbness. More aggressive implant displacement exercises are begun.
Days 21-42: Generally a plateau period in terms of wound healing. Not alot of changes as the remaining 20% of the capsule tends to be formed during this period. Rare to require any pain meds.
May begin transition from low implact activities to higher impact aerobic activites and begin a slow but gradually progressive course of upper extremity resistance exercises. Many surgeons disagree at which point you may be unrestricted *(anywhere from 6 wks to 3 months).
Days 42-9 months: Progressive relaxation of scar tissues and softening of the initially firm result with descent of the implant and resolution of the remaining 5-10% of swelling. It is at this points that the breasts generally become softer and movil.
During this time most patients take "ownership" of the implants and they become part of their body image but this varies tremendously among patients. This is also a common time period where patients may feel that they didn't go big enough.
Although the breasts become stable in their appearance, it is important to realize that they are never stable and always changing with the greatest amount of change occuring with pregnancy, weight gain, and menopause. Everyone heals differently and not all surgeons would agree with this summary

Sunday, July 24, 2011

Swelling of Liposuction - How Long Until It Goes Down?



I had Liposucction six weeks ago and one place looks lumpy and looks like if I have something in there that moves. I'm still numb and I now I have a lump. Will this go away? How long does it take for swelling to go away?

Answer:



Numbness, bumpiness and swelling are common and normal after liposuction. Time, regular exercise, and gentle massage generally resolves these issues. Most patients will see 80% of their result at 1 month after surgery but the final result will not be seen until after all swelling resolves and the tissues have had a chance to shrink. This is usually 4 to 6 months postop. after-care period is very important , particularily after lower extremity area liposuction.
The lymphatic tissues, or the tiny vessels that remove fluid from the tissues, are significantly damaged during liposuction. It is this reason that the swelling lasts so long. These tiny vessels need to reestablish themselves to remove this fluid. This can take up to 6 months.

There is still remodeling that takes place for months after surgery , so your true final result is really about 6 months after surgery.Your reference to "lumps" and "something that moves", though, is concerning. See your surgeon, as you may have a seroma (the "something that moves")--a fluid collection that needs to be drained. The description of a lump and something moving is unusual. significant lumpiness may mean that the fat was removed in an uneven fashion. if there is some asymmetry from the procedure, then the lumpiness may be from some areas not being treated adequately.This process could be very much depending on the location of liposuction. usually the lower extremity liposuction has the longest time for the resolution of swelling. and the patient neads wear compression garment and massag the area.
So the skin contraction and shrinkage takes approximately 6-9 months to occur, meaning you may not see your final result/outcome for 6 months to one year after your surgery. The compression garment is to be worn for the first 4-6 weeks to assist in the skin contraction . If you notice some hard or firm areas a few weeks after surgery, this is normal. You can gently massage the area with circular motions using a lotion to help expedite the softening process of the firm, calcified fat. Irregularities after liposuction usually flatten out, but occasionally these persistent irregularities are related to excessive removal of superficial fat, leaving a 'dent'. These can be troublesome, and some part of the body are susceptible to these contour irregularities (lateral thigh, inferior gluteal fold.

The use of ultrasonic liposuction is thought by some to have a more rapid resolution of swelling. The use of tumescent techniques may affect the amount of swelling in the tissues. These techniques involve injecting large amounts of dilute lidocaine into the fat prior to suction.In addition you need to remember, every patient has its own pace of healing and in some cases, the swelling can take up to six months to completely disappear
En Conclucion

There is some degree of swelling after liposuction. 75-80% of the swelling is resolved and absorbed within the first 4-6 weeks.
There will be an additional 20% of swelling that will take time to be resolved. Favorable contraction of tissues and skin take up to a year after surgery.However, you can accelerate your healing and improve your results by wearing tight fitting garments during the first 3 months after surgery
Or we can say there is three stage healing process.
The first stage takes 2-3 weeks. During the first 2-3 weeks the initial swelling is resolving and you can get a general sense for your new shape. The second stage takes 2-3 months and will show you the details of your new shape as the swelling subsides and your tissue softens. The final healing can take up to one year. It is not uncommon to have areas of numbness that take up to a year to resolve.