Post-Surgery Hardness and Compression Garment Use - Surgery

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After the removal of a lipoma, the surgical area may feel firm to the touch?


Hello Doctor: About a month ago, I underwent surgery to remove a lobular tumor from my right breast.
I have been following the doctor's advice and performing massages.
I have a few questions to ask you:
1.
The area around the surgical site (not where the stitches are) feels somewhat firm to the touch, and the surface feels flat.
Pressing it with moderate pressure does not cause pain.
Is this a normal phenomenon? Should I schedule an earlier follow-up appointment, or can I wait for my originally scheduled follow-up in three months post-surgery?
2.
Additionally, I would like to ask about the compression garment I am currently wearing.
Generally, how long should a post-operative compression garment be worn? I read in articles by cosmetic doctors that pressure can help reduce scar formation.
Would wearing it longer be beneficial? Thank you.

Meng, 20~29 year old female. Ask Date: 2018/11/05

Dr. Tang Yuxiong reply Surgery


Hello, if you feel something hard upon touch, it is advisable to return for a follow-up with your physician to discuss and undergo further examination.
Generally, after surgery, a compression garment is worn to apply pressure to the wound, which helps reduce bleeding and tissue fluid leakage.
It is recommended that you wear it for the initial 1-2 months.

Reply Date: 2018/11/05

More Info


After undergoing breast surgery, particularly for the removal of a lobular tumor, it's common to have concerns about post-operative symptoms and the use of compression garments. Let's address your questions one by one.

1. Post-Surgical Hardness: It is not uncommon for the area around the surgical site to feel firm or hard after surgery. This hardness can be attributed to several factors, including swelling, scar tissue formation, and the healing process itself. The body responds to surgery by sending fluids to the area, which can lead to temporary swelling. Additionally, as the body heals, scar tissue can form, which may feel firmer than the surrounding tissue. If the area is not painful upon pressure and appears flat, this is generally a normal part of the healing process. However, if you notice any changes such as increased pain, redness, or warmth, or if the hardness persists beyond what you consider normal, it would be prudent to consult your surgeon sooner than your scheduled follow-up appointment. Regular check-ups are essential to ensure that healing is progressing as expected.

2. Use of Compression Garments: Wearing a compression garment, such as a surgical bra or chest binder, is often recommended after breast surgery. These garments help support the breast tissue, reduce swelling, and can aid in the healing process. The duration for which you should wear a compression garment can vary based on individual circumstances and the surgeon's recommendations. Generally, patients are advised to wear these garments for several weeks post-surgery, often around 4 to 6 weeks, but this can be longer depending on the specific procedure and your healing progress.
The idea behind wearing a compression garment is that it can help minimize the formation of scar tissue and reduce the risk of complications such as seromas (fluid collections) or hematomas (blood collections). Some studies suggest that consistent compression can lead to better aesthetic outcomes by reducing the prominence of scars. However, it’s important to ensure that the garment fits well and is not too tight, as excessive pressure can cause discomfort and potentially impede circulation.

In conclusion, the hardness you are experiencing is likely a normal part of the healing process, but keep an eye on any changes that may warrant earlier medical advice. As for the compression garment, continue wearing it as advised by your healthcare provider, and don’t hesitate to ask them about the optimal duration based on your specific case. Always prioritize open communication with your healthcare team to address any concerns you may have during your recovery.

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