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Post-Operative Instructions For Fat Transfer To Breasts

The following information is intended for only Dr. Barrett’s patients exclusively. If you have had surgery by another surgeon please follow up with that surgeon for particular details about your surgery.

Congratulations on completing your surgery! Please reference these instructions over the coming weeks as you begin your recovery process.

GENERAL CARE

  • A responsible adult must provide transportation for you after surgery (public transportation/Uber is not permissible).
  • A responsible adult must stay with you after your surgery and overnight until the morning following the procedure. If you are having several procedures, you may need or prefer assistance for 1-2 days following your procedure. 
  • Avoid making major decisions or participating in activities that require judgment for 24 hours after surgery. 
  • Get plenty of rest and follow a balanced diet. Decreased activity and pain medication may promote constipation, so you may want to add more fresh fruit to your diet, and be sure to increase fluid intake. 
  • Take all medications as instructed post operatively. 
  • Wash your face, hair and the body the day of surgery before coming to the office, with antibacterial soap. 
  • Do not drive until you are no longer taking any pain medications (narcotics).
  • Do not drink any alcohol for 2 weeks after your procedure.
  • Do not smoke as smoking delays healing and increases the risk of complications.

RECOMMENDED POST-OP PRODUCTS

  • HealFast Pre-Op Supplements (Taken ahead of surgery)  
    • Optimizes nutritional status prior to surgery. 
    • Take 4 capsules twice daily starting 5-days before surgery. 
  • HealFast Post-Op Supplements  
    • Replenishes key healing nutrients and ingredients to control pain and inflammation. 
    • Take 4 capsules twice daily, starting 5-days before surgery.
    • Benefits include pain relief, reducing inflammation, alleviating stress and eliminating insomnia. 
    • Start with ½-1 dropper underneath the tongue the night of surgery. 
    • Hold the oil under the tongue for 30 seconds before swallowing. 
    • Increase dose as needed. Do not exceed 4 full droppers a day. 
  • Arnica Recovery Complex 
    • Speed healing time up to 50% allowing for faster recovery from bruising, swelling and pain. 
    • Take 1 capsule twice daily after surgery. 
    • Anti-inflammatory effects and reduce wound infections by 50%. 
    • Take 1 tablet per 25 lbs of body weight. For example, if you weigh 125 lbs then take 5 tablets. 
  • Magnesium 
    • Reduce stress levels, sleep faster and deeper, maintain normal heart rhythm and build strong bones. 
    • Take 2 capsules nightly.
    • Increase absorption of key amino acids and certain vitamins, improve digestion and gut health, and faster muscle recovery. 
    • Take 3 capsules with every meal. 
    • A clinically tested scar cream and team favorite, Skinuva contains highlight selective growth factors combined with a silicone cream matrix.
    • Skinuva improves the appearance of scars nearly two-times better when compared to a traditional silicone cream.
    • Begin using 2-3 weeks post procedure, or after the incision site has begun to scab over. If you are unsure, please consult with the medical team during your pre-op appointments. 

FOLLOW-UP CARE

  • For the first week, sleep with your back elevated using pillows for support. We want your grafted fat to stay in a perfect position during the initial healing process. 
  • Remove the scopolamine patch from behind your ear after surgery, as it may cause blurry vision when worn for too long.
  • Shower 24 hours after surgery. Leave any steri-strips on and pat dry with a clean towel. 
  • Surface sutures are removed in 5-14 days.  
  • Keep incisions clean and inspect daily for signs of infection. 
  • Compression garments should be worn for at least 2 weeks after surgery. 
  • Keep steri-strips on for 4-6 weeks as directed by Dr. Barrett. 
  • The medical team will advise you when to start Skinuva scar gel. 
  • No baths, hot tubs or swimming for 6 weeks. 
  • Avoid exposing scars to the sun for at least 12 months. Always use a strong sunblock.

WHAT TO EXPECT

  • Temporary pain, soreness, and numbness. Maximum discomfort will occur the first few days. 
  • As the nerves regenerate, the nipples commonly become hypersensitive. This will subside with time. You may find that gentle massaging helps.
  • Bruising and swelling is normal in the breasts, as well as the abdomen as it can travel downward due to gravity.  
  • It is quite common for the two breasts to heal differently. One may swell more, one may feel more uncomfortable, or the shapes may differ initially. After complete healing, they should look remarkably similar and natural.
  • Regeneration of the sensory nerves is accompanied by tingling, burning, or shooting pains, which will disappear with time and are nothing to be alarmed about.

ACTIVITIES 

  • You should be resting the remainder of the day of surgery, but be sure to walk around a few times per day. 
  • During the first week, do not lift over 10 pounds. 
  • It is important that you not engage in strenuous activities in the first 3 weeks after surgery.

CALL THE OFFICE IF YOU DEVELOP ANY OF THE FOLLOWING: 

  • Fever of 101 degrees F or greater. 
  • Pain not relieved with pain medication. 
  • Swelling, redness, bleeding, and/or foul drainage from the incision area. 
  • Persistent nausea and/or vomiting.
  • Any other concerns. 
  • If you have not urinated after 6 hours of being home from surgery, please contact our office. 

If you do need to seek a hospital, please go to your nearest emergency room or call 911.

Dr. Barrett maintains hospital privileges at the following hospitals:

  • Providence St John’s Hospital in Santa Monica
  • Good Samaritan Hospital in Downtown Los Angeles
  • Southern California Hospital in Culver City
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