Immediate Postoperative Breast Augmentation
In the thousands of breast augmentations and breast revisions, breast reductions and breast lifts that Dr. Linder has performed, he continues to address the compression and immediate postsurgical garment or dressings in a similar fashion. We do not use a surgical brassiere or any form of brassiere immediately after surgery in the operating room. Rather, we use a Bias compression wrap, 6 to 8 inches, wrapping the breasts after placing 4×4 gauze, Steri-strips, Xeroform and Reston foam along the lateral breast if tumescent liposuctioning is performed.
This Bias compression wrap has been very useful to allow for the accommodating immediate acute swelling which will occur without constriction of the neck area or the chest region. It also allows for compression and may be useful for reducing some small microcapillary bleeding. In any case, we use the Bias wrap on all of Dr. Linder’s immediate postsurgical patients whether they are augmentations, breast revisions, breast lifts or breast reductions. Please see the following picture.
Steri-strips are used on breast incisions unless the patient has a preexisting history of tape allergies at which time Xeroform (yellow impregnated gauze) will be used (see Photo #2), which can then be placed on the incision sites which is not adherent to the skin and does not cause blistering. Immediately, on postop day #1, the dressings are removed and patients are placed in athletic bras or surgical brassieres and all dressings and 4x4s are replaced as well.