Is it normal to have no bandage after breast explant with bilateral capsulectomy and removal of silicone lymph nodes?

Question

Had my surgery yesterday. I was not bandaged up or wrapped to compress my chest. Is this normal? Every journey I've read on this site have been tightly wrapped up for at least 48 hours. I've come home and put a tight non wired non padded sports bra on. Feel alot more supported now. Just wondered why my plastic surgeon chose to leave me this way? I had my surgery on the nhs in England. Any advice with what I should be doing right now would be very helpful. Not due to see my Ps for 1 week now.

Camille Cash, MD · Answer

Generally patients go home from surgery with bandages and compression.  Compression is often recommended for two weeks or more.  I encourage you to contact your surgeon for clarification as she/he is most familiar with the details of your surgery.

David J. Wages, MD · Answer

Thank you for your question.  There are many different ways to manage a patient and their wounds after surgery.  Each surgeon has their reasons for doing certain protocols and they get the results they want which are then predictable.  In my practice I do not put patients into restrictive dressings.  My patients do well and like the fact they aer not in restrictive dressings.  I have a plastic surgeon collegue who does use the dressings and binders and he feels his patients do well with those dressings.  In the end there is more than one way to get a good result.  The fact that your surgeon did not use restrictive dressings does not mean they dropped the ball or are not good.  They are just different.  Keep in touch with your surgeon. Good luck.

Sugene Kim, MD, FACS · Answer

Hi, v10letAll plastic surgeons have different surgical and post-surgical protocols based on our experience and preference.  I personally place my patients in surgical bra and bandage to decrease the risk for seroma formation.Please follow up with your plastic surgeon closely.Best regards.

Ciro Adamo, PhD, MD · Answer

From my point of view, that is perfectly normaly, and in fact I never put bandages either.The choice of dressing varies from surgeon to surgeon, and some of us are more aggressive than others. I think you have a good surgeon, and should follow his/her advice.

Is it normal to have no bandage after breast explant with bilateral capsulectomy and removal of silicone lymph nodes?

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Is it normal to have no bandage after breast explant with bilateral capsulectomy and removal of silicone lymph nodes?

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