Compression vs no compression after breast reduction?

Question

I have had consultations with two surgeons. One requires a medical compression bra 24/7 for 3 months and the other requires Micropore tape for 3 months but NO compression ever. I’m 65, 5-3”, 130# and looking to remove about 500gms per side which both doctors agree on. I want to follow “my” doctors recommendations but I question how they can be so opposed?

Gerald Minniti, MD, FACS · Answer

With regards to scars, tension reduction is key in the first three months. Tape is the way to go. I prefer Hypafix, but am fine with paper tape too (micropore). As for overall healing, gentle compression will support the tissues during that same period and reduce the amount of drop out that will inevitably occur.

Justin Yovino, MD, FACS · Answer

It's not really about compression. It's more about support. Support is typically provided by a soft surgical bra. The micropore tape may be providing that support. A medical compression garment is likely not actually compressing but more supporting. Just clarify with the surgeons on what they mean by all that. They'll likely end up at the same goal.

Daniel Barrett, MD · Answer

Dear Clnewlin,

I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.
It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Afet Oncel Bozkurt, MD, FEBOPRAS · Answer

Hello, generally we recommend compression garment usage after breast reduction operations. It will be helpful to shape your breasts and protect it during the healing process

Emmanuel Mallol Cotes, MD · Answer

Thank you so much for your inquire,

Different surgeons have different protocols based on their experience and your specific case. Factors like the amount of tissue removed, incision placement, and skin elasticity influence the decision. Some surgeons may prefer light, loose-fitting garments like a surgical bra over tight compression.

Always follow your surgeon's specific guidance, as they will tailor the advice to your procedure and individual anatomy.

Sincerely, 
Dr. Emmanuel Mallol

Anshu Gupta, MD · Answer

I personally advocate for some degree of compression after breast reduction surgery. Compression helps maintain the breast contour, provides support to prevent tissue stretching, and minimizes breast movement, which can aid healing in multiple ways. However, there are exceptions. If there are concerns about blood flow to the skin or nipple area, compression can actually hinder healing, making it counterproductive in those cases. This is likely why you're hearing differing opinions on the matter. I typically make the final decision based on the specific circumstances during surgery, and in about 90% of cases, I opt to use compression.

Ajaya Kashyap, MD · Answer

Thank you for your query. Compression after breast reduction surgery is advised by most Plastic surgeons. There is improvement in swelling and shaping in short term but the long term results may not be different with or without compression. However support garments are important. Please follow the advice of the surgeon you have chosen. All the best!

Krishna Vyas, MD, PhD, MHS · Answer

Compression garments and surgical bras are commonly recommended to reduce swelling and provide support to the breasts during the healing process. Wearing a compression bra for about a month is typical, with some surgeons recommending transitioning to a sports bra for extended support. The compression helps reduce fluid accumulation and supports the tissue and suture lines, especially in the early stages of recovery.

For scar management, taping is often recommended for the first few weeks to reduce tension on the scar tissue, aiding in better scar formation and preventing excessive scarring. I personally like silicone taping for the first few months to keep the incision hydrated and avoid sun exposure and effectively "splint" the wound to reduce tension.

Compression and taping are tools that help manage swelling, support the healing process, and improve scar appearance, but the exact protocol may vary based on individual circumstances or surgeon preferences.

Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained 
Aesthetic Plastic Surgeon
New York, New York

Azita Madjidi, MD, MS, FACS · Answer

Compression is recommended after breast reduction to help the swelling to go down faster and support the swollen breasts against gravity. It's like squeezing the water out of a sponge full of water. The tape may cause blister on your skin because of sheering forces and irritates after a few days. It is passive and not elastic and therefore has no compression effect.

Caner Kacmaz, MD · Answer

I highly recommend you to wear a medical compression bra 24/7 for 1 month and continue wearing a sports bra for the whole year to prevent future problems

Compression vs no compression after breast reduction?

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