Consultation and Medical History

• Initial consultation: You will start with a consultation with Dr. Faulkner, a board-certified plastic surgeon, to discuss your concerns, goals, and the reasons for revision surgery. This is a time to review your previous surgery details and discuss the improvements you’re seeking.
• Review of medical history: Provide a comprehensive medical history, including any past surgeries, current medications, allergies, and any pre-existing conditions (e.g., diabetes, smoking, blood-clotting issues). This helps Dr. Faulkner customize the procedure and minimize risks.
• Smoking and Alcohol
• Stop smoking: Smoking interferes with the healing process and increases the risk of complications. You should stop smoking at least 4 to 6 weeks before surgery and refrain from smoking during your recovery period.
• Avoid alcohol: Do not consume alcohol for 48 to 72 hours before surgery, as alcohol can increase the risk of bleeding and complications.

Medications and Supplements

• Stop certain medications: Avoid taking blood-thinning medications like aspirin, ibuprofen, or certain herbal supplements at least 7 to 10 days before surgery to reduce bleeding risks.
• Pre-surgical medications: Dr. Faulkner may prescribe antibiotics or other medications before surgery to reduce infection risks.

Fasting Instructions

• Follow fasting instructions: Do not eat or drink for 8 to 12 hours before the surgery to prevent complications during anesthesia.

Prepare for Post-Surgery Recovery

• Arrange for assistance: You will need someone to drive you to and from the surgery, as well as help with daily tasks for the first few days post-surgery.
• Recovery space: Set up a comfortable and clean space at home where you can rest during your recovery, with easy access to food, water, and medications.

Shower and Clean Skin

• Shower before surgery: Shower with antibacterial soap before the surgery to reduce the risk of infection.

Wear Comfortable Clothing

• Loose-fitting clothes: On the day of surgery, wear loose, comfortable clothing that can be easily removed. Avoid anything that may rub against or put pressure on the surgical site.

Rest and Recovery

• Rest: Adequate rest is essential in the first 1 to 2 weeks after surgery. You should rest with your upper body elevated to minimize swelling and support the healing process.
• Pain management: You will likely experience some pain, swelling, and bruising, but this can typically be managed with prescribed pain medications. It’s important to follow Dr. Faulkner’s recommendations for pain relief.
• Monitor for complications: Be vigilant for signs of infection or other complications, such as fever, increased redness or swelling, or unusual pain. Contact Dr. Faulkner immediately if you experience any of these symptoms.

Wound Care and Dressing

• Keep the incisions clean and dry: Follow the wound care instructions provided by Dr. Faulkner. You will likely have dressings applied to your breasts after surgery.
• Compression garment: You will need to wear a compression garment or surgical bra for several weeks after surgery. This helps reduce swelling, provides support, and keeps the breasts in the correct position.
• Showering: You can usually shower gently after 48 to 72 hours, but avoid direct water pressure on the surgical area. Avoid soaking the incisions in water (e.g., in a bath or hot tub) until Dr. Faulkner gives approval.

Swelling and Bruising

• Manage swelling: Swelling and bruising are common after breast revision surgery and will subside over time. You can apply cold compresses to the area in the first few days to reduce swelling, but avoid applying ice directly to the skin.
• Sleeping position: Sleep with your upper body elevated, using pillows to avoid putting pressure on the breasts.

Activity Restrictions

• Avoid heavy lifting: Refrain from lifting anything over 5 to 10 pounds and avoid strenuous activities for at least 4 to 6 weeks. This will help reduce the strain on your chest and support proper healing.
• No upper body exercise: Do not engage in any strenuous physical activities (e.g., weightlifting, running) or activities that require raising your arms above your head until Dr. Faulkner clears you, typically around 6 to 8 weeks.
• Gentle movement: You can gradually increase your level of activity with walking and light movements after the first few weeks, but be cautious.

Follow-Up Appointments

• Regular check-ups: Follow-up appointments will be scheduled to ensure proper healing and to remove any stitches (if necessary). Typically, follow-ups occur at 1 to 2 weeks, 6 weeks, and 3 to 6 months post-surgery.

Scar Care

• Scarring: Scars are permanent but should fade over time. You can use silicone gel sheets, creams, (available in our office), or massage techniques (once approved by Dr. Faulkner) to help minimize scar formation.
• Avoid sun exposure: Keep scars out of direct sunlight for 6 months to a year to avoid darkening and scarring.

Breast Sensation Changes

• Altered sensation: It’s normal to experience some changes in sensation, especially around the nipple area, during the recovery process. This can take several months to improve and, in some cases, may be permanent.

Emotional Recovery

• Expect emotional changes: The emotional impact of breast revision surgery can vary, and many individuals experience a boost in self-esteem once the results are visible. However, others may have temporary emotional fluctuations as their body heals and they adjust to the new appearance.
• Body image: It can take some time to adjust to your new breast size and shape, so give yourself time to heal physically and emotionally.

Signs of Complications

Contact Dr. Faulkner immediately if you experience:

• Severe pain or discomfort that isn’t relieved with medication.
• Any unusual changes in breast shape or skin color (e.g., darkening of the skin).
• Signs of infection, such as fever, redness, or drainage from the surgical site.
• Any fluid buildup or lumps around the implants.
• Excessive bleeding or drainage from the incision sites.

By following these pre- and post-care instructions, you can help ensure a smooth and successful recovery from your breast revision in Rockville. Always communicate with Dr. Faulkner and follow their guidance closely for the best outcome. If you have any concerns or notice anything unusual during your recovery, don’t hesitate to reach out to our office.