Breast Reduction patients are
normally given a pre operative information packet that will explain everything
you should do and know leading up to your surgical date. There is a list of
medications that you should not take for up to two weeks before your surgery.
These medications include
aspirin containing products, Vitamin E, any drug that
might increase your bleeding time.
Some surgeons will go over
the benefits of Arnica Montana for swelling and bruising. Make sure you ask
your plastic surgeon if it is okay to use this product during recovery.
More than likely, you will
have a full physical done by your regular family doctor or internist making sure
you are okay to undergo breast reduction surgery. Your surgeon will want
you to have a complete blood count (CBC) done to check if you have any underlying
infections or problems. A CBC checks both white and red blood cell count which
ultimately can alert your surgeon to disease or disorders that you might have
before the surgery.
If you are 35 years old or
above, your surgeon may advise you to have a pre-operative mammogram screening
to rule out any abnormalities before your breast reduction surgery. This is to
detect any abnormalities of the breast tissue or evidence of breast cancer.
Smoking increases risks of complications so it would be best if you stop for at
least two weeks before surgery and for several weeks after the procedure.
Prior to your surgical procedure for breast reduction, your plastic
surgeon assess’ your overall health. They evaluate the following:
Overall good health
Evaluation of the breast and chest to detect
Evaluation of the body proportion to detect the
breast size to enhance body contour
Breast measurements are taken – chest bone to
the nipple, the nipple to the fold of the breast.
Determination of the amount of ptosis (droop or
sag) of the breast; measured as Grade I, II, or III. Grade III ptosis is
the worst resulting with both the nipple and the breast tissue lay below the
fold of the breast.
Examination for shoulder grooving (bra straps
cutting into the shoulders) and inframammary intertigo (rash underneath
the fold of the breast)
Sensitivity of the nipple and extent of stretch marks
expectations concerning the operation and the final size of your breasts.
Please stop Aspirin,
Aspirin-containing products, Plavix and non-steroidal anti-inflammatories
(such as Ibuprofen) for 10 days prior to and two weeks following your
surgery. Also, drugs such as Warfarin or any other anti-coagulant will
affect bleeding. Read the section on
medication to avoid before surgery.
Smoking tobacco and
alcohol increase anesthetic and surgical risks. Stop using alcohol and or
smoking one to two weeks prior to and three weeks following surgery. They
cause delayed wound healing, skin redness and other complications.
Please notify your
physician/surgeon of all your routine medications and significant health
history. Most surgeons will tell you to remain on your daily medications,
however, you need to tell the surgeon and the anesthesiologist every
medication you are taking, prescription and over the counter.
Ask your surgeon if
you can take Arnica, which is a natural herb that significantly decreases
bruising. Your surgeon will let you know if this is okay. Also, Vitamin C
(ascorbic acid) helps promote healing along with Vitamin A.
If you are having a
morning procedure you must not eat or drink after midnight the evening
before. If you are having an afternoon procedure you must not eat or drink
after 6.00am on the morning of surgery. You may, however, take your normal
medications if your surgeon tells you to and you may brush your teeth.
Shower and remove any
make-up and nail polish before arriving for your procedure.
Unless you are
remaining in hospital someone will need to drive you home after surgery and
stay with you that evening and or for the first 24 hours after surgery.