Postoperative Care

A support garment is worn continuously for the first week to provide support and comfort. Drains are emptied three times a day and as needed. There is no need to change dressings as the opsite dressing is occlusive; therefore, the patient can shower the day after surgery. At 7 to 10 days postoperatively, the patient is seen in the office, where dressings and steristrips are removed, exposed suture ends are clipped, and drains are removed. Scar treatment begins at this visit with a vitamin E-based topical ointment covered with paper tape or sil-icone gel sheeting. The ointment is reapplied every 3 days and continued for 6 weeks. The patient is seen again at 6 weeks, 6 months, and 1 year to document the progress of the result. Initially the breast will have a slightly coned appearance, but the overall shape of the breast will be good. As the swelling resolves over the next 6 weeks,the breast settles into the final shape with resolution of any upper pole fullness and a pleasing rounding out of the lower pole.

It is important to note that, while swelling does subside and the breast settles over time, bottoming out in the traditional sense does not occur. Because the attachments of the inframammary fold are left intact during the procedure, there is no opening up of the loose sub-scarpal layer along the inframammary fold; thus the compliant fat and parenchyma of the breast cannot descend into this space, creating over time a new infra-mammary fold that is lower than the initial inframam-mary fold incision. As a result, there is no need to artificially place the nipple and areola complex in a low position to accommodate for expected "bottoming out," as is done with the Wise pattern procedure.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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