Compression wrap after implant removal?

Question

Typically how long is it recommend to wear ace wrap with compression bra after implant removal?

Jed H. Horowitz, MD, FACS · Answer

The #compression #bra acts as a “dressing,” holding the breasts in position. If the bra feels too tight or hurts, switch immediately to sports type bra that feels comfortable. You should wear the bra at all times for at least three weeks. You will probably be more comfortable if you do not wear an underwire bra but you should always wear support.  It is always recommended to call and see your surgeon to discuss your concerns as each has their own post-op suggestions based on each patient's individual situation.

Lisa Cassileth, MD, FACS · Answer

I don't use ace wraps at all, and in fact being a surgical snob I say ace wraps are for amateurs. Sometimes they are a good idea for patients that are more likely to bleed, I suppose. For people with strong pec muscles I often apply a strap or band to the top of the breast, which prevents a strong pec muscle from pulling upward on a the implant post-operatively. Also post-op massage not found to be successful in large peer reviewed studies. Many doctors recommend this but it's old school.

Stuart A. Linder, MD, FACS · Answer

We recommend a very compressive bra after explantation such as the DrLinderbra which will reduce incidence of seroma. We also use drains for up to a week

Camille Cash, MD · Answer

Compression after implant removal is important to help reduce risk of seroma formation and to support the tissue as it heals.  Each patient situation is unique, but compression is often recommended for at least two weeks after surgery.

Gary L. Ross, MBChB, FRCS · Answer

I would ask your PS your question and take his/her advice. Your PS will be using the wrap to prevent haematoma / seroma but it needs to be comfortable for you.

Lily Lee, MD · Answer

how long to wear a compression wrap depends on a few things with your surgery. Sometimes, a surgeon will use a compressive wrap right after surgery to prevent hematoma, but this would only be good for a max of 48 hours. Thereafter, a compressive wrap is to try to prevent a seroma and in my experience, this is totally useless, especially if nothing is done with the capsule. Best way to avoid a seroma is to either leave a drain, or roughen up the capsule somewhat so that the slick surfaces will heal down together.

Michael K. Obeng, MD, FACS (license on probation) · Answer

Good morning! Thank you for your question. Each person could be different. You want to make sure the swelling and possibility of fluid collection is controlled. But it's typically a fairly easy recovery. Please see a board certified plastic surgeon to discuss your options as each surgeon has their own protocol following this procedure. Best of luck to you!

Juris Bunkis, MD, FACS - Account Suspended · Answer

Years ago, we used to bind patients but there is no advantage to doing so and I have not used tight wraps fof YEARS!

Compression wrap after implant removal?

Answers (8)

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