Frequently Asked Questions for
Second Stage Implant Breast Reconstruction
1. Is there anything I need to avoid prior to surgery?
Please do not take any blood thinners such as non steroidal anti-inflammatory medications like Ibuprofen (Advil), Naproxen and others, Aspirin or Coumadin prior to surgery.
Please stop your birth control pill 2- 4 weeks prior to surgery as this may increase the risk of blood clots.
We recommend discontinuing all herbal medications prior to surgery. Specifically, the following herbal medications may cause blood thinning, cardiovascular instability or interact with other drugs given to you for anesthesia:
Garlic in pill form
St Johns Wort
Large Dose of Vitamin E
Recreational Drugs or Alcohol should not be used 24 hours before and after surgery. These may interact with your anesthetic or post operative pain killers and cause serious complications.
Do not smoke for 1 month prior to and 1 month after surgery. Nicotine in cigarettes will cause problems with healing, increased risk of infection and the possibility of dead skin after surgery.
Get 8 hours of sleep per night in the two weeks prior to surgery. This will boost your immune system.
You will not be able to have anything to eat or drink the night before surgery. The surgery centre will call you with specific instructions.
Please call our office immediately if your health condition changes (flu, urinary tract infection, cold, fever) before surgery.
2. Do I need to buy a bra prior to surgery?
No, we will fit you for your bra at your first postoperative visit in office.
3. Will I see Dr Macadam on the day of surgery?
Yes, Dr Macadam will see you and mark you for surgery right before the surgery occurs.
4. What will happen when I leave the surgery center?
You will have tapes on your incisions and then another bandage over the tapes. You will have a tensor wrap on your chest. You may remove the tensor wrap and the outer bandages 48 hours after surgery and have a shower. The tapes can get wet. Then re wrap your breasts in the tensor bandage and wear it between showering until you see Dr Macadam in office.
You will have prescriptions for an antibiotic to prevent infection and a pain killer. Take the pain killer every 4 hours for the first 48 hours, then take as needed.
5. When will I see Dr Macadam after surgery?
Our office will usually make your postoperative appointment prior to your surgery date. If this hasn’t been done please call the office to book an appointment for one week after surgery.
6. What should I avoid after surgery?
You may not lift anything heavier than 5lbs. Do not exercise. Exercise is restricted for 4 weeks because of the risk of bleeding. You must sleep on your back for 3 months. You will be unable to perform any chest exercises (push ups, chin ups, cobra, bench presses) for one year after surgery.
7. How long do I need to wear the bra after surgery?
For one year 24h/day. This is to prevent lateral displacement (sliding of the implants to the sides when you lie flat) which requires further surgery.
8. Can I wear any other bra after surgery?
We recommend the Victoria Secret “Knockout Bra” https://www.victoriassecret.com/bras/strapless-and-backless/knockout-by-victoria-sport-front-close-sport-bra-victoria-sport?ProductID=336178&CatalogueType=OLS.
9. What are things to look for after surgery?
After you are discharged from the hospital, there are a few things to watch during your healing process. If you see any of the following try calling Dr Macadam. If you cannot reach her please call VGH at 604‐875‐4111 and ask to page the plastic surgeon on call:
Shortness of Breath
Redness around your incisions
Swelling of the breasts
Increasing pain in your breasts
Increasing pain around the incisions
10. When can I drive?
Every patient is different. We recommend that you be off of all narcotic medications prior to driving. You will need to feel comfortable enough to make a sudden turn of the steering wheel. For most patients this is at about 10-14 days after surgery.
11. Do I need to go on antibiotics if I have teeth cleaning or a urinary tract infection?
There is no consensus on this. We feel that there may be a risk of infection around the implants with either teeth cleaning or urinary tract infection. Contact Dr Macadam to discuss this further prior to teeth cleaning or if you have a urinary tract infection.
If you have any other questions during your post‐operative course, feel free to contact our office or email Dr. Macadam at email@example.com.