How Long Should You Wear a Bandage over Your Breast Following Exchange Surgery, Tissue Expanders for Silicone Implants?

Question

I had a double mastectomy about 5 1/2 months ago with immediate reconstruction. Almost two months ago, silicone implants replaced my tissue expanders. My healing has gone very well, but I am wondering how long I should wear a bandage over my left breast that was radiated many years ago. My plastic surgeon created a deeper pocket on this side in order to allow the implant to drop lower due to the tightness of the chest wall muscle. Also, is it safe to wear underwire bras?

Jimmy S. Firouz, MD, FACS · Answer

In this case, you should definitely follow your surgeon's instructions since every surgeon has a different approach to follow up care. It is typical to wear the bandage for 48 hours after surgery and the post surgical bra for up to 6 weeks. However, your surgeon should know what is best for your specific case.

Kenneth Hughes, MD · Answer

I usually remove dressings in the first few days and change to something else. I do not recommend underwire bras at this stage in healing, but your plastic surgeon may have different ideas. Kenneth Hughes, MD Los Angeles, CA

Guido P. Gutter, MD · Answer

Our answers to your question may confuse you more than help you.

	Because as Surgeons we have very strong opinions based on  experiences which guide us in our postoperative care. The best for you is to follow your surgeons recommendations as he knows your breast(s), your  tissues, the procedure he performed  the best. That does not mean that you cannot  ask questions why his postoperative care is the way it is.  An experienced and reputable Plastic Surgeon will  have  good reasons why and should be able to explain them in a way that you understand.

	Good luck to you !

Steven Wallach, MD · Answer

I think it is best to speak with your surgeon regarding how long to wear a bandage around your breasts after srugery.  Good luck.

Tal T. Roudner, MD, FACS · Answer

It depends on your surgeons protocol. Usually 24-48 hrs is all that is needed for a closed wound until the epithelium covers the incisions. After that it is more to keep your clothes clean and protect the sensitive skin.

	 

	Good luck

How Long Should You Wear a Bandage over Your Breast Following Exchange Surgery, Tissue Expanders for Silicone Implants?

Answers (5)