What to Do for Severe Itching After Breast Reduction Surgery?

Question

I had BR surgery 11 days ago and have been suffering from extreme itching for the last couple of days. My incisions look to be healing very nice. Most of the steri strips have come off underneath my breasts and it is red and bumpy where the tape strips were however, that is not the only areas that itch. Nothing appears to be infected. Could it be I have just developed a reaction to the adhesive? I have been taking benadryl (oral) every 4-6 hours which helps some. Anything else I could try?

Richard J. Bruneteau, MD · Answer

Your history suggests an allergic reaction to either
the steristrips or adhesive agents.The
redness and vesicles that you describe are commonly seen with hypersensitivity
to topical agents.This is frequently
accompanied by itching as well.Under
these circumstances, it’s important to contact your plastic surgeon.Your surgeon will most likely treat the area
with topical steroids and continue the Benadryl.In most cases this leads to rapid resolution
of the problem.

Tom J. Pousti, MD · Answer

I would suggest that you address your concerns with your plastic surgeon. It is  possible you have had an allergic reaction to tape and/or medications. If this is the case, based on physical examination, the use of a  oral steroids may be helpful to you. Again, your plastic surgeon will be the best position to advise you.

	Best wishes.

James Knoetgen, III, MD · Answer

Severe itching after breast reduction surgery is a common concern, often due to the healing process and the skin stretching as it adjusts to the changes. Here are some steps you can take to alleviate itching:
1.	Follow Postoperative Care Instructions: Ensure you're following the specific postoperative care instructions provided by your plastic surgeon. This may include keeping the incision sites clean and dry, wearing compression garments as advised, and taking prescribed medications.
2.	Apply Cold Compresses: Applying cold compresses or ice packs wrapped in a towel to the affected area can help numb the itching sensation and reduce inflammation.
3.	Moisturize: Use a gentle, fragrance-free moisturizer or soothing lotion recommended by your plastic surgeon to keep the skin hydrated. Avoid products containing harsh chemicals or perfumes, as they can further irritate sensitive skin.
4.	Avoid Scratching: Although it may be tempting, avoid scratching or rubbing the itchy areas, as this can lead to irritation, infection, and delayed healing. Instead, gently pat or tap the skin if you feel the need to alleviate the itching sensation.
5.	Take Antihistamines: Over-the-counter antihistamine medications such as diphenhydramine (Benadryl) can help relieve itching and reduce the body's histamine response.
6.	Stay Hydrated: Drink plenty of water to keep your body hydrated, which can help maintain skin elasticity and promote healing.
7.	Wear Loose Clothing: Opt for loose, breathable clothing made from natural fabrics like cotton to minimize friction and allow the skin to breathe.
8.	Avoid Hot Showers and Baths: Hot water can exacerbate itching and irritation. Stick to lukewarm water when bathing and avoid using harsh soaps or scrubbing the surgical site.
9.	Use Oatmeal Baths: Adding colloidal oatmeal to your bathwater can help soothe itchy skin and reduce inflammation. Alternatively, you can purchase oatmeal-based bath products from pharmacies.
10.	Stay Relaxed: Stress can exacerbate itching, so practice relaxation techniques such as deep breathing, meditation, or gentle stretching exercises to help manage stress levels.
If the itching persists or worsens despite these measures, or if you experience any signs of infection such as redness, swelling, warmth, or discharge from the incision sites, be sure to contact your plastic surgeon for further evaluation and guidance.

Leonard T. Yu, MD · Answer

I agree with the previous posts and would add that topical steroid cream may also help.  If you keep the area dry, it may also decrease the itching.  Discuss this with your surgeon.

Scott E. Kasden, MD, FACS · Answer

Sounds like you are developing a skin allergy to the adhesive that is used to help keep Steri Strips on.  This can get really bad, so you may need a steroid shot, or a dose pack of medrol.

	Benedrryl may help but make you sleepy.

	 

	Ask your doctor

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