■ After the operation the patient is monitored for 24 h. The blood pressure is monitored and it ought not to be above 120 mg systolic. During this time the patient must stay in bed on her back with the upper body raised by 30°. The first day after the operation the Redon drain is removed and the bandage is changed. If the course of the recovery is without problems, the patient is given a well-fitting sports bra. This is adjusted in the clinic and the patient must wear it at home for 4 weeks.
Where the implant is beneath the muscle, we recommend that the patients wear a 'Stuttgart belt'. This reduces muscle swelling, produces a supple connective tissue site (long-term study from the USA) and accelerates the contouring process.
For the first 8 days after the operation, the patient receives an antibiotic (cefaclor) and triamcinolone acetonide tablets, 8 mg per day. After 8 days, the patient can remove the Steri-Strips herself. The incisions must be taken care of for 2 weeks using dexpanthenol ointment, and after 4 weeks silicone gel must be used or a plaster applied for 2 months. Four weeks after the operation it is possible to do heavy physical work and sport. Social activities and work do not pose a problem after 8 days.
Patients are requested to go to the breast clinic immediately if there are any problems. After 12 months there will be a final check with precise photo documentation.
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