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Strategies for Reducing Bruising Following Breast Surgery

Following breast surgery, it’s common for patients to experience some level of bruising around the operated area. This physical reaction is a natural part of the healing process, where blood from the tiny vessels damaged during surgery collects under the skin, presenting as discolouration. While usually it is harmless, excessive bruising can lead to discomfort and prolong the recovery period. Reducing bruising after breast surgery can be beneficial for a smoother recuperation.

In this blog, Sydney Specialist Plastic Surgeon Dr Bish Soliman will explore strategies and tips to help manage and reduce bruising. By adhering to these guidelines, you can support your body’s natural healing process, potentially leading to a faster and more comfortable recovery.

Ultimate Guide To Cosmetic Breast Surgery

What Causes Bruising After Breast Surgery?

Breast surgery, whether for cosmetic enhancement or medical necessity, involves incisions and manipulation of body tissues, which invariably leads to some degree of bruising. Bruising occurs when blood vessels are damaged, causing blood to leak into the surrounding tissues and create the familiar blue, purple, or yellow marks on the skin.

Several factors can influence the extent of bruising. The complexity of the surgery, the technique used by Dr Soliman, and the body’s response to trauma all play important roles. Additionally, individual characteristics such as age, skin type, and overall health can affect bruising. Certain medications and supplements known to thin the blood can exacerbate bruising, highlighting the importance of thorough pre-surgery consultations to manage such risks effectively.

What to Do After Breast Surgery to Reduce Bruising

The initial 24 hours following breast surgery are critical for setting the stage for a smooth recovery. During this period, it is essential to follow Dr Soliman’s post-operative instructions meticulously. These instructions often include guidelines on resting, managing pain, and beginning the healing process under the best conditions.

Rest is essential during the immediate post-operative phase. You are advised to limit movement to prevent strain on the surgical sites, which can exacerbate bruising and swelling. It’s recommended to arrange for assistance at home during this time to help with daily tasks that might compromise your rest or put pressure on the operated area.

Pain management is another critical aspect of immediate post-operative care. Dr Soliman will likely prescribe medication to help control discomfort. It’s important to follow the prescribed dosage and schedule to maintain a comfortable recovery. Over-the-counter pain relief medications should be taken cautiously and only as directed by Dr Soliman, as some can increase the risk of bleeding and, consequently, bruising.

Observing the surgical site for signs of excessive bleeding or infection is also important. While some bruising and swelling are expected, significant changes in colour, size, or pain level should prompt immediate contact with Dr Soliman. In most cases, slight bleeding might occur, which should naturally diminish over time. However, staying vigilant about these signs ensures any potential complications are addressed promptly, preventing further issues.

Proper care during this time not only aids in reducing bruising but also contributes to overall recovery, paving the way for a more comfortable and swift healing period.

Reducing Bruising after Breast Surgery with Cold Compresses

Using cold compresses after breast surgery is an effective method to manage and reduce bruising. The cold temperature helps to constrict blood vessels, which can minimise blood leakage into the surrounding tissues and thus reduce the severity of bruising. Additionally, cold compresses can alleviate swelling and provide a soothing effect that can be quite relieving during the recovery process.

For optimal results, it’s important to use cold compresses properly. Immediately following surgery, and for the first 48 hours, apply a cold compress to the affected area for 20 minutes every hour while awake. It’s vital to ensure that the compress is not applied directly to the skin to avoid frostbite. Instead, wrap the cold pack in a soft cloth before application.

Timing is important when it comes to the effectiveness of cold therapy. The initial 24 to 48 hours post-surgery is when it’s most beneficial as this is when bruising and swelling are most likely to develop. After this period, the focus of recovery shifts, and the benefits of cold compresses diminish.

Precautions should also be observed when using cold compresses. Overuse or improper application can lead to skin damage or hinder the healing process. Always follow the recommendations provided by Dr Soliman regarding the duration and frequency of use.

Reducing Bruising after Breast Surgery with Arnica Montana

Arnica’s role in healing after breast surgery reflects a growing interest in integrating natural remedies with conventional medical practices. By considering both the potential benefits and the necessary precautions, you can make informed decisions about including Arnica in your post-operative care strategy.

The application of Arnica can be in the form of topical gels, creams, or oral homeopathic pellets. Its anti-inflammatory properties are believed to aid in reducing swelling and dispersing trapped blood and fluids under the skin, which are common causes of bruising. For those looking to incorporate Arnica into their recovery regimen, it’s essential to understand how and when to use it effectively.

Topical Arnica should be applied directly to the bruised areas, avoiding open wounds or broken skin, usually starting 24 hours post-surgery. It’s important to gently massage the product into the skin to enhance absorption without applying unnecessary pressure that could aggravate the bruised tissue.

Oral Arnica is often recommended to start a few days before the surgery and continue after, following the dosage guidelines provided by the manufacturer or Dr Soliman. It’s crucial, however, to approach oral Arnica with caution, as its efficacy and safety, particularly in high doses, can vary among individuals.

While many patients report positive outcomes with Arnica, it’s vital to consult with Dr Bish Soliman before incorporating it into your post-surgery care plan. He can offer guidance based on your specific situation and health profile, ensuring that the use of Arnica complements your recovery without interfering with other medications or the healing process itself.

Dietary Considerations for the Recovery Period

Nutrition plays a role in recovery after breast surgery. A well-balanced diet not only supports overall health but also aids in the body’s healing process, potentially reducing bruising and speeding up recovery. Specific nutrients and foods can have anti-inflammatory properties, promote wound healing, and strengthen the immune system, which is essential for a smooth and efficient recovery.

Foods to Eat

  • Protein-Rich Foods: Protein is essential for repairing tissue and building new tissue. Include lean meats, fish, eggs, dairy products, and plant-based sources like legumes and tofu in your diet.
  • Vitamins and Minerals: Vitamin C and Zinc are particularly important for healing. Vitamin C, found in citrus fruits, strawberries, bell peppers, and broccoli, helps in the formation of new connective tissue. Zinc, available in nuts, seeds, meat, and seafood, plays a role in the body’s ability to heal wounds.
  • Omega-3 Fatty Acids: Foods rich in omega-3s, such as salmon, chia seeds, flaxseeds, and walnuts, can help reduce inflammation, which may in turn reduce bruising and swelling.
  • Fruits and Vegetables: A variety of fruits and vegetables can provide antioxidants that protect the body’s cells and support healing. Aim for a colourful plate to maximise the range of nutrients.

Foods to Avoid

  • Salt: High sodium intake can increase swelling and blood pressure, which can exacerbate bruising. Limit processed and salty foods during recovery.
  • Sugar and Refined Carbs: Foods high in sugar and refined carbohydrates can lead to spikes in blood sugar and increase inflammation, potentially hindering the healing process.
  • Alcohol: Alcohol can increase the risk of swelling and bruising by dilating blood vessels. It can also interfere with medications and dehydrate the body.
  • Caffeine: Similar to alcohol, caffeine can dehydrate the body and potentially increase bruising. Limit coffee, tea, and caffeinated drinks as much as possible post-surgery.

Supplements That Can Help with Recovery after Breast Surgery

Certain supplements, such as Vitamin C, Zinc, and Bromelain (an enzyme found in pineapples), may be recommended by Dr Soliman to support healing. However, it’s important to discuss any supplements with Dr Soliman and his team before adding them to your routine, as they can interact with medications or affect bleeding.

By focusing on a balanced diet rich in nutrients essential for healing and avoiding foods that can hinder the process, you can support your body’s natural recovery mechanisms and potentially reduce bruising after breast surgery.

Reducing Bruising after Breast Surgery with Compression Garments

Compression garments are often recommended following breast surgery to support the healing process. These specially designed items of clothing apply gentle pressure to the surgical area, which can provide several benefits, including reduced bruising and swelling, improved circulation, and support for the newly contoured tissues.

Types of Compression Garments

For breast surgery patients, compression garments usually come in the form of post-surgical bras or vests. These garments are designed to offer a snug fit without being overly tight, ensuring comfort while providing the necessary support. It’s important to choose a garment that fits well; too much compression can hinder circulation, while too little may not offer the desired benefits.

Manufacturers have developed a range of post-surgical compression garments that cater to different needs and preferences, including front-closure bras for ease of use and adjustable straps for a customised fit. The choice of garment often depends on the type of surgery performed and Dr Soliman recommendations.

Physical Activity and Exercise during Recovery after Breast Surgery

After breast surgery, reintroducing physical activity and exercise into your routine must be approached with caution and careful planning. While staying active is important for overall health and well-being, it’s important to allow your body adequate time to heal and avoid activities that could exacerbate bruising, swelling, or disrupt the surgical results.

Safe Activities after Surgery

In the initial weeks following surgery, your physical activity should be limited to light walking. This gentle form of exercise can help promote circulation, reducing the risk of blood clots and aiding in the healing process. Walking is a low-impact activity that doesn’t strain the chest area but keeps your body moving and supports recovery.

When to Resume Normal Exercise

The timeline for resuming more strenuous exercises, such as jogging, swimming, or weightlifting, varies depending on your healing process and the complexity of the surgery. Most patients can begin to incorporate moderate exercises into their routine 4-6 weeks post-surgery, but this should only be done with the approval of Dr Soliman.

Reducing Bruising after Breast Surgery – Treatment Options

In addition to self-care strategies and home remedies, several treatments can reduce bruising and expedite the healing process following breast surgery. These treatments can be offered by Dr Soliman or specialised clinics, can provide targeted support to alleviate bruising and improve overall recovery outcomes:

Laser Therapy

Laser therapy, specifically pulsed dye laser (PDL), has been shown to be effective in treating bruising by targeting and breaking down blood pigments under the skin. This non-invasive treatment can accelerate the resolution of bruises by enhancing the body’s natural clearing process. Laser therapy is most effective when performed soon after the appearance of bruising, within the first few days.

Manual Lymphatic Drainage (MLD)

Manual lymphatic drainage is a gentle massage technique designed to stimulate the lymphatic system, helping to remove excess fluids and reduce swelling and bruising. By encouraging the drainage of lymphatic fluid, MLD can support the healing process and provide relief from discomfort associated with post-surgical bruising.

MLD should be performed by a certified lymphatic drainage therapist who has experience working with post-operative patients. The technique’s gentle nature makes it a suitable option for many individuals recovering from breast surgery, but it’s always best to seek approval from Dr Soliman before beginning treatment.

FAQs about Reducing Bruising after Breast Surgery

How long does bruising typically last after breast surgery?

  • Bruising after breast surgery varies among individuals but generally starts to improve within 7 to 14 days. The discolouration may change from blue or purple to yellow or green as it heals. You will see significant reduction in bruising by the third week post-surgery, although some traces may remain for up to a month. The duration can depend on the extent of the surgery, individual healing rates, and adherence to post-operative care instructions.

Can I use makeup to cover bruises after breast surgery?

  • It’s advisable to wait until the incision sites are fully healed and Dr Soliman gives the go-ahead before using makeup to cover any bruising near the surgical area. Introducing makeup too early, especially near open wounds, can risk infection or irritation. Once you’re cleared to use makeup, opt for gentle, hypoallergenic products to minimise the risk of skin reactions.

Is it normal for bruising to spread after surgery?

  • It’s not uncommon for bruising to spread slightly after surgery due to gravity and the body’s process of breaking down and reabsorbing the blood. However, significant spreading or the development of new, large bruises days after surgery should be reported to Dr Soliman, as it could indicate bleeding or other issues requiring medical attention.

How can I differentiate between normal bruising and haematoma?

  • Normal bruising appears as discoloured skin that’s tender when touched but doesn’t significantly protrude from the skin’s surface. A haematoma, however, is a more substantial collection of blood beneath the skin or around the implant (if used) that can feel like a firm lump and may cause noticeable swelling or pain beyond what is considered normal for post-surgical bruising. If you suspect you have a haematoma, contact Dr Soliman for assessment.

Will bruising affect the final outcome of my breast surgery?

  • In most cases, bruising itself does not affect the long-term outcome of breast surgery. It is a temporary condition that resolves as the body heals. Adhering to Dr Soliman’s post-operative care instructions, including managing bruising, will support a smooth recovery process. However, if bruising is associated with a haematoma or infection, prompt treatment is necessary to prevent any potential impact on the surgical results.

Further Reading about Breast Surgery with Sydney Specialist Plastic Surgeon Dr Bish Soliman

Medical References about Reducing Bruising after Breast Surgery

About Dr Bish Soliman

Dr Bish Soliman - Sydney Plastic and Reconstructive Surgeon, about us 01 2x
Specialist Plastic, Reconstructive and Cosmetic Surgeon
FRACS (Plas), MS (Plas), MBBS (Hons 1), BCom

AHPRA Registered Medical Practitioner MED 0001679053 Specialist Registration in Plastic Surgery

Dr Bish Soliman is a Sydney-based Specialist Plastic and Reconstructive Surgeon who performs aesthetic surgery of the face, breast, and body as well as skin cancer surgery.

He currently holds two consultant microsurgery positions in major Sydney hospitals performing complex microsurgical reconstruction including DIEP breast reconstruction.

After graduating from The King’s School, Dr Bish completed a Bachelor of Commerce degree at the University of Sydney. After working briefly at a major Sydney finance firm, he decided to pursue his passion and long-term goal of a career in medicine. He graduated from the University of Notre Dame at the top of his class, receiving First class honours and the prestigious Bower and Sherrard medal. He then went on to complete his junior medical training at Westmead Hospital during which time he was awarded Junior Medical Officer (JMO) of the Year, as well as a finalist for NSW Doctor of the Year.


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