What can be used to help soothe swollen and bruised breasts after breast augmentation? (Photo)

Precise surgical technique, delicate tissue handling, avoidance of rib injury, meticulous hemostasis (control of bleeding capillaries), and basically, careful surgery all contribute to the least post-op discomfort possible. And although individual patient pain thresholds cause fairly wide variations in perceived discomfort, sloppy surgery or blunt dissection will always yield more pain than the same patient's response to skilled surgery.Which is why choice of surgeon is MUCH more important than choosing "overnight recovery," "flash recovery," or "24 hour breast augmentation" marketers! But there are other things that can be done (including chilled cabbage leaves, but more about that later). These include pre-operative anti-inflammatory and muscle relaxant medications (continued post-op, but better started pre-op), better anesthesia (TIVA instead of inhalation anesthesia, since the latter causes more nausea, vomiting, and resultant swelling, bruising, and pain), and intra-operative use of Exparel (3-day extended release local anesthetic), in addition to pain medications if needed. Narcotics can cause nausea and vomiting (see above comment re anesthesia), not to mention slowing the gut and causing constipation, straining, and higher risk of elevated blood pressure-induced bruising, bleeding, or even re-operation. So pain control reduces post-operative complications (like capsular contracture) as well!So how about chilled cabbage leaves?Sure, cold can reduce both swelling and discomfort, but ice bags (or blue ice freezer paks) CAN actually cause frostbite and blisters (I have had this happen to one of my patients whose well-meaning husband put frozen blue ice paks next to her breast skin--held by her elastic bandeau--overnight; took months to heal) so protect the skin with a dry cloth when using ice or freezer paks! Chilled cabbage leaves are organic, and should not touch any open incision, but otherwise are harmless (and I don't suppose the cool lasts very long). So if they seem helpful (and assuming your incisions are covered), go for it and feel better soon. Best wishes! Dr. Tholen

Hello,Many surgeons will allow cold compresses, though you will need to be sure your incisions are protected and clean. I recommend that you ask your Plastic Surgeon what to expect and what you can do for relief of swelling and pain post op.All the best

HI giddygilly,  I would recommend that you keep your arms elevated when you can, ice your breasts and wear a good supportive bra. The bra should not , however, be too tight or you could increase your swelling. Be sure not to engage in vigorous athletic activity and do not lift anything 15 lbs. or more for 5-6 weeks.Hopefully, this will help a bit.Best,Dr. Christine Rodgers