Breast surgery · After your operation

Recovering After Breast Reduction

Dr. Steven Ovadia's post-operative instructions for breast reduction: the first days at home, your surgical bra and drains, when you can shower, what you can lift, when exercise comes back, and how to care for your incisions and scars week by week.

24–48 hoursyou may shower, with the drains in place
3 weekssurgical bra around the clock, then scar strips begin
1 monthkeep your elbows below shoulder level
6 weeksnothing heavier than 10 to 15 pounds

Overview

How to use this page

This page is a general guide to recovering from breast reduction with Dr. Ovadia. It covers the instructions most patients ask about: showering, drains, lifting, arm movement, exercise, and scar care.

The written instructions you receive from Dr. Ovadia and his team for your own surgery come first. If anything here differs from what you were told, follow your own instructions, and call us if you are unsure.

These are Dr. Ovadia's guidelines for his own patients. Other surgeons have different protocols, and that is normal. If you had surgery with another surgeon, follow their instructions, not this page.

Everyone heals differently. The timings on this page are a general guide, and Dr. Ovadia reviews your timeline with you during your recovery.

The first days

Home from the hospital

The hospital stay

Breast reduction is done in the hospital under general anesthesia. Patients often stay overnight, though some go home the same day. You will need an adult to take you home.

Wear your surgical bra

Swelling is normal and expected. Wearing your surgical bra is important: the compression helps prevent and minimize swelling and supports the breasts while they heal. For the first 3 weeks, wear it around the clock, taking it off only to shower. For the next 3 weeks, wear it during the day or at night, whichever you prefer. After 6 weeks, wear it as you like.

Sports bras and underwire

If you would rather not wear the surgical bra, a supportive sports bra that closes in the front is a fine alternative, worn on the same schedule. Avoid underwire bras for about 2 months: the wire presses on the incision along the fold under the breast while it is still healing.

Caring for your drains

Drains are commonly used after breast reduction surgery, and Dr. Ovadia often places them. While you are in the hospital, the nurses care for the drains and teach you how to empty them and record the output, so you are comfortable doing it at home. They are removed in the office.

Showering

You may shower 24 to 48 hours after surgery, and it is fine to shower with the drains in place. Let the water run over the incisions rather than scrubbing them, and pat the area dry before putting your surgical bra back on. Do not soak in a bath, pool, or hot tub until Dr. Ovadia clears you.

Pain and medication

Soreness and tightness across the chest are expected in the first days. Take your pain medication as prescribed, and ask us before adding any medication or supplement that was not on your list. Many patients find they need less than they expected after the first few days.

Rest, with short walks

Rest in the first week, but get up and walk several times a day, starting the day of surgery. Walking helps your circulation and your recovery. Save anything more than that for later.

Activity and lifting

What you can do, and when

Two restrictions protect the incisions while they heal: keep your elbows below shoulder level for the first month, and lift nothing heavier than 10 to 15 pounds for 6 weeks. Walking is encouraged from the start. Everything else comes back in stages.

No heavy lifting for 6 weeks

Do not lift anything heavier than 10 to 15 pounds for 6 weeks after surgery. That includes groceries, laundry baskets, pets, and small children. After 6 weeks, build back up to your normal lifting gradually rather than all at once.

Elbows below shoulder level for 1 month

For the first month, keep your elbows below the level of your shoulders. Avoid reaching overhead, pulling things down from high shelves, and raising your arms to wash or style your hair. Keeping the arms low protects the incisions while they heal.

Walking

Walking is encouraged from the day of surgery. Start with short walks and build up to longer walks outdoors as you feel able.

Getting back to exercise

First 2 weeksWalking only. No workouts.
About 2 weeksYou can generally walk on a treadmill or ride an exercise bike at an easy pace.
3 to 4 weeksRunning and a faster pace on the treadmill or bike.
1 monthArms may come back above shoulder level.
6 weeksHeavy lifting and strength training, built back up gradually.

When you add an activity back, start easy and stop if it causes pain or new swelling. Driving can resume once you are no longer taking prescription pain medication and can turn the wheel and look over your shoulder comfortably.

Incisions and scars

Caring for your incisions

How the incisions heal

The incisions generally heal well. Occasionally, healing is slower at the point under the breast where the incisions meet. This usually heals with simple wound care, which we go over with you if it is needed.

Small open areas along the incision

It is not uncommon for a small spot along an incision to look raw or open up a little in the first weeks, most often at the point under the breast where the incisions meet. This is usually minor. It is typically treated with a thin layer of bacitracin and a bandage, changed daily, and it closes on its own. Let us know if you notice one so we can check it at your next visit.

Spitting sutures

The incisions are closed with dissolvable stitches under the skin. Occasionally the body pushes one toward the surface before it dissolves, and a small red bump or a thread end appears along the incision. This is called a spitting suture. It is common, it is not an infection, and it does not affect your result. Do not pull on it. Dr. Ovadia or his team can trim it in the office, and the spot settles within a week or two.

Silicone scar strips from 3 weeks

Starting at 3 weeks after surgery, once the incisions have closed, begin using silicone scar strips over the incision lines. Silicone helps scars stay flat and fade. We will show you how to apply them and how long to wear them each day.

How scars change over time

Scars are permanent, but they fade. They are usually pink or red for the first several months and keep lightening for a year or more. If the scars will be exposed to sunlight, use sunscreen on them for the first year: sun darkens a healing scar and makes it stand out longer.

Changes in feeling are usually temporary

Early after surgery there may be changes in sensation in the nipples or the skin of the breast. These typically return to baseline over time. Permanent changes or loss of sensation are uncommon.

Timeline

Recovery at a glance

Day of surgerySurgery in the hospital, and up walking the same day. Often an overnight stay, though some patients go home the same day.
24 to 48 hoursYou may shower, with the drains in place.
First weekRest and short walks. Drains are emptied at home and removed in the office.
About 2 weeksTreadmill walking or an easy bike. Many patients are back to desk work.
3 weeksSilicone scar strips begin. Surgical bra goes from around the clock to day or night. Running and a faster pace from 3 to 4 weeks.
1 monthElbows may go above shoulder level again.
6 weeksHeavy lifting returns, gradually. Surgical bra as you like.
2 monthsUnderwire bras may be worn again.
3 to 6 monthsThe breasts have settled into their shape. Scars keep fading for a year or more.

This is a general guide. Everyone heals differently. During your recovery, Dr. Ovadia will review your timeline with you.

When to call

Call us if you notice any of these

Swelling, bruising, and soreness are expected and improve over the first weeks. The signs below are different. They can point to bleeding or infection, and they are best taken care of early, so call the office rather than waiting for your next visit.

Reasons to call the office

  • One breast suddenly becomes more swollen, firm, or painful than the other
  • Spreading redness or warmth around an incision
  • Pus or cloudy drainage from an incision, or an open area that is getting larger rather than closing
  • A fever
  • Drain output that suddenly increases or turns bright red
  • Calf pain or swelling, or shortness of breath

For chest pain, trouble breathing, or heavy bleeding that does not stop with pressure, call 911 or go to the nearest emergency room.

Questions during your recovery? Call or email us and we will go over it with you.

Questions

Common questions about recovery

When can I shower after breast reduction?

You may shower 24 to 48 hours after surgery, and it is fine to shower with the drains in place. Let the water run over the incisions rather than scrubbing them, pat dry, and put your surgical bra back on. Baths, pools, and hot tubs wait until Dr. Ovadia clears you.

How much can I lift after breast reduction?

Nothing heavier than 10 to 15 pounds for 6 weeks. After 6 weeks, build back up to your normal lifting gradually rather than all at once.

Why do I need to keep my elbows below my shoulders?

Reaching overhead pulls on the incisions while they are healing. For the first month, keep your elbows below the level of your shoulders: no reaching for high shelves, and no raising the arms to wash or style your hair. After a month the arms can come back up.

When can I exercise again?

At about 2 weeks you can generally walk on a treadmill or ride an exercise bike at an easy pace. Running and a faster pace come back at 3 to 4 weeks. Heavy lifting and strength training wait until 6 weeks, and then build back gradually. Everyone heals differently, and Dr. Ovadia reviews your timeline with you during recovery.

When do I start the silicone scar strips?

At 3 weeks after surgery, once the incisions have closed. Silicone helps the scars stay flat and fade. We go over how to apply the strips and how long to wear them each day.

How do I take care of my drains?

While you are in the hospital, the nurses care for the drains and teach you how to empty them and record the output, so you are comfortable doing it at home. You can shower with them in place. They are removed in the office.

How long do I wear the surgical bra?

Around the clock for the first 3 weeks, taking it off only to shower. For the next 3 weeks, wear it during the day or at night, whichever you prefer. After 6 weeks, wear it as you like. The compression matters because it helps prevent and minimize swelling, which is normal and expected after surgery.

Can I wear a sports bra instead of the surgical bra?

Yes. A supportive sports bra that closes in the front is a fine alternative, worn on the same schedule as the surgical bra.

When can I wear an underwire bra again?

After about 2 months. Until then, the wire would press on the incision along the fold under the breast while it is still healing.

A small spot on my incision looks open. Is that normal?

It is not uncommon for a small area along an incision to look raw or open up a little in the first weeks, most often where the incisions meet under the breast. It is usually minor and is typically treated with a thin layer of bacitracin and a bandage, changed daily, until it closes. Let us know so we can look at it at your next visit, and call sooner if there is spreading redness, pus, or a fever.

There is a small bump or a thread poking out of my incision. What is it?

Most likely a spitting suture: a dissolvable stitch under the skin that the body is pushing to the surface before it dissolves. It is common and not an infection. Do not pull on it. We can trim it in the office, and the spot settles within a week or two.

Do I need sunscreen on my scars?

If the scars will be exposed to sunlight, yes, for the first year. Sun darkens a healing scar and makes it stand out longer. Under clothing or a swimsuit they are covered and need no sunscreen.

When can I go back to work?

Many patients are back to desk work in about 2 weeks. Work that involves lifting, reaching overhead, or physical exertion waits longer, in line with the lifting and arm restrictions above. Dr. Ovadia goes over your return to work with you.

Is numbness after breast reduction normal?

Early after surgery there may be changes in sensation in the nipples or the skin of the breast. These typically return to baseline over time. Permanent changes or loss of sensation are uncommon.

About the surgery

Considering breast reduction?

The breast reduction page covers who it is for, the incisions, insurance coverage, and before-and-after photos. Dr. Ovadia sees patients in New York City and in Jersey City and Millburn, New Jersey.

225 Broadway, Suite 3100, New York, NY
377 Jersey Ave, Suite 440, Jersey City, NJ
90 Millburn Ave, Suite 206, Millburn, NJ
Phone and video consultations available · info@ovadiaps.com