Medications for breast implant surgery?

Question

What does the medication situation look like for a typical silicone breast implant surgery-lets say under muscle, aereola incision? Are antibiotics always given before the surgery and/or after? I'm pretty concerned about medications given I've never been on anything stronger than excedrin. Not sure how my small frame will take it (5'7" 104 pounds).

Gregory Turowski, MD, PhD, FACS · Answer

I understand your concerns with medication and having surgery.  I always recommend antibiotics after surgery, because you are introducing a foreign body(implant).  You definitely get a dose during surgery, and I prescribe an antibiotic for 3 days after.  This way I NEVER had an infected imlant after cosmetic augmentation. The pain is very subjective, and I prescribe the pain medication to make sure the patient is comfortable post op.  I also use the pain pump(ball) for breast augmentation, this seems to help cut down the need for narcotics.  Good luck with your surgery

Joe Gryskiewicz, MD, FACS · Answer

Hi SFMamma!Please see the video below which explains medications and what will happen at the surgery.  We give IV antibiotics during surgery and rinse the pocket our with a triple antibiotic solution.  I give 24 hours of antibiotic postop.  All the best, Dr. Joe

Jason E. Leedy, MD · Answer

I give my patients a dose of antibiotics preoperatively.  They go home with prescriptions for Vicodin and Ibuprofen.  Vicodin is typically used the first night and maybe the second day.  Ibuprofen is started the first day.  Ibuprofen provides great pain control with causing nausea, fatigue, or constipation like narcotics.  After a few days patients are typically off Ibuprofen.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question. The only medicine that is absolutely necessary after breast augmentation surgery is pain medication. Most surgeons use a combination of Tylenol with a narcotic like Percocet, Vicodin, or Nucynta.  These can cause nausea, so you may need an anti nausea medicine.  They may also cause constipation so a stool softener and fiber is helpful. One dose of antibiotics at the time of surgery is standard, but not usually after surgery.  You should do fine with medications. Best wishes.

Deborah Sillins, MD · Answer

Many Plastic Surgeons will give you a prescription for 3-5 days of antibiotics after Breast Augmentation. You will also get a prescription for a narcotic like Percocet or Vicoden to take for pain. You should only need this for a few days after the procedure. You most likely will also receive a prescription for an anti nausea medicine.

Richard H. Fryer, MD · Answer

Thank you for your question.  This is something your doctor will be able to tell you.  Every doctor prescribes a little differently after a breast augmentation.  Typically a narcotic is prescribed for pain, however, some women never use it, it just depends on your pain tolerance.  Check in with your board certified plastic surgeon to find out exactly what will be prescribed after surgery. If you would like more information regarding breast augmentation, you can download a free copy of my breast augmentation planner at ABetterBreast.com.

Bahram Ghaderi, MD · Answer

Some medications are necessary to perform the surgery successfully. Most surgeons do give antibiotics through your IV right before surgery and prescribe home antibiotics for a few days after. Pain medication use can vary from person to person. Some patients can control the pain with just over-the-counter Tylenol while others may need narcotic pain medication. Discuss your concerns with your surgeon at the time of the consultation. They can help make you more comfortable with the reason for the medication and any alternative available that may suit you better.

Medications for breast implant surgery?

Answers (7)

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