PREPARATION

Before the surgery, you must:

Stop taking medication containing acetylsalicylic acid such as Magnyl, Aspirin, Ibuprofen, and Treo one week before the surgery.

Avoid natural medicines, especially fish oil, ginger, and vitamin D, as they can increase the risk of bleeding. Stop all natural medicines three weeks before the surgery.

Any blood-thinning medication may need to be paused. This will be discussed with the surgeon during the pre-consultation.

Smoking must be paused least 4 weeks before and 6 weeks after the surgery. Smoking can negatively affect the cosmetic outcome, increase the risk of infection, and is generally bad for your health. We often choose not to offer surgery to active smokers.It is a good idea to shop and prepare meals before the surgery, so you can focus on your recovery afterward.

On the day of the surgery, you should take a shower with thorough cleansing of your body and hair. Avoid using body lotion or other products on the area to be operated on.

Wear loose, comfortable clothing, preferably a zip-up blouse, loose fitting pants, and flat shoes. Remove all jewelry and any piercings and leave them at home.

ANESTHESIA

The surgery is performed under general anesthesia. You must fast for 6 hours before the surgery (no eating, chewing gum, smoking, or similar). You may drink clear fluids like water and sugary drinks in small amounts until 2 hours before the surgery; do not drink milk, juice, etc.

It is crucial to adhere to the fasting rules, as anesthesia can be dangerous if you are not fasting, and the surgery is canceled, if you are not fasting.

On the day of the surgery, arrive at the clinic at the scheduled time. A nurse will greet you and you will be shown to your room, change clothes, and have an intravenous line placed. The anesthesiologist will discuss the anesthesia with you, and finally, you will meet with the surgeon, who will ensure you feel comfortable and well-informed. The surgeon will also mark the area to be operated on.

The surgery will be performed under general anesthesia and lasts approximately 2-3 hours. The procedure involves liposuction of the agreed areas using a thin cannula. The fat is then cleaned and transplanted into the breast tissue. We use the state-of-the-art injection technique to increase the fraction of retained fat.

Local anesthesia is also applied to reduce pain and discomfort and minimize the risk of bleeding. The holes through which the fat is suctioned and injected are closed with fine dissolvable sutures, and dressings are applied, along with an additional absorbing bandage, as discharge from the small wounds may occur.Finally, you will be fitted with a compression bandage on the liposuctioned area and a soft bra on the breasts.

AFTER THE SURGERY

After the surgery, you will be taken to the recovery room, where the nurse will observe you. You should lie on your back to avoid pressure on the breasts. You will receive something to drink and eat and pain reliefers if needed. Depending on the extent of the surgery, you may be discharged after a few hours.

Before you go home, the plastic surgeon and nurse will review the post-operative precautions with you and answer any questions you may have to ensure you feel comfortable. You should arrange for someone to pick you up, as you will not be able to drive yourself.

THE DAYS AFTER THE SURGERY

Since the surgery was performed under general anesthesia, you will be tired and sluggish on the first day, and you may experience nausea and dizziness. We recommend having an adult at your side for the first 24 hours.

It is important to take it easy for the first days after the surgery and generally listen to your body’s signals to reduce the risk of bleeding and swelling. Make sure to stay well-hydrated and consume a sensible protein-rich diet.

PAIN

You can expect pain and tenderness for a few weeks after the surgery. Bruising and swelling around the liposuctioned areas are also to be expected. This will subside within 2-3 weeks.It is important to take the prescribed medication. The medication will reduce pain, but you should expect some discomfort during the first 3-4 days.

Many people experience stabbing and sharp pain in the operated area. This is normal and occurs because the nerves are re-establishing connections. These sensations can last for up to 1 year after the surgery.

You will receive an individualized plan for taking care of post-operative pains. The nurse will thoroughly review the medication with you before you leave, and you will also receive written material describing everything.

ACTIVITYIn the initial days after the surgery, getting out of bed might be difficult, so having someone to assist you is a good idea. It is important to get up and move around quickly to reduce the risk of blood clots. Engage in light activity, such as short walks, but take breaks when needed. For the first 1-2 weeks, avoid any strain on the wounds.

You must avoid vigorous exercise for the first 2 weeks after the surgery, but it is important to keep your body active with light activities, like short walks.

You must avoid driving until you can handle the vehicle safely and no longer need strong painkillers. Always use a seatbelt, whether you are driving or a passenger.

WORK

You can resume sedentary work after 1 week. For physically demanding work, you should wait 2-4 weeks before returning.

SLEEPING POSITION

We recommend lying on your back for about 4 weeks after the surgery to avoid pressure on the breasts. You may lie slightly on your side, possibly with a pillow behind one shoulder for support.

BATHING

You can take a shower 24 hours after the surgery or when there is no longer any discharge from the wounds (unless you have drains). Before showering, remove the compressive bandage and the absorbing dressing. The brown plaster must remain until your follow-up appointment. It can withstand water.

Take a gentle shower, rinse the wounds to wash away soap residues (do not wash or scrub the wounds), and pat dry with a clean towel before putting the compressive bandage back on.

WOUND DISCHARGE

Discharge from the wounds may occur. This is due to the fluid used during the surgery and is completely normal and normally lasts a few days. You will receive an absorbing dressing from the clinic to manage this.

BRA AND BANDAGE

You will receive a soft bra after the surgery, which you must wear for the first 4 weeks. It is important that there is no pressure on the area.

You will also be given a tight compression bandage for the liposuctioned areas, which you must wear around the clock for the first 3 weeks, and then during the day for an additional 3 weeks. This helps to reduce swelling and unevenness.

You must remove the bandage when you bathe or if it needs washing. You may purchase an extra bandage from the clinic if you want more to alternate between.

SCARS

The scars from the surgery will typically be red and swollen but will improve over 6-24 months. Over time, scars usually become narrow and lighter I color, but in some cases, they may become wide and darkly pigmented.

You may apply a soothing cream to the scars once they are completely healed. Avoid smoking, as it increases the risk of infection, slow healing, and unsightly scars.

CONTACT WITH THE CLINIC

You will be given a phone number upon discharge so you can contact the clinic 24 hours a day in case of any urgent needs. The day after your surgery, a nurse will call to ensure you are well and answer any questions you might have.

FOLLOW-UP

After 7-9 days, you will have a follow-up appointment with the nurse. The dressings will be removed, and the wounds will be checked. New tape will be applied and given to you, which you should change yourself every 10-12 days for about 3 months after the surgery. The tape helps to keep the scars narrow, flat, and level with the rest of the skin.

We will discuss how to care for the scars, any potential pain, etc. You will be offered a follow-up appointment with the plastic surgeon 3-6 months after the surgery. If you encounter any issues before then, you are always welcome to contact us.