Fibroadenomas: Post-Surgery Care and Recovery Tips - Surgery

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Fibroadenoma


Hello, doctor.
At the end of May, I had a biopsy on both sides of my breasts which revealed a fibroadenoma and a fibrocystic change.
I have since undergone surgery to remove them, and my wounds are still covered with silicone gel.
However, the areas around my nipples are healing, and there are hard lumps where the incisions were made on both sides.
What could be the reason for this? How long should I keep the silicone gel on? I haven't changed the dressing and I am still able to shower normally and get the wounds wet.
Is that okay? Thank you.

Xia Yu, 30~39 year old female. Ask Date: 2023/06/18

Dr. Chen Bingze reply Surgery


As long as the surgical area is confirmed to be free of postoperative hematoma, it is normal for there to be an inflammatory response after surgery, which may cause hardness in the area.
If the silicone tape has been in place for more than three weeks, it can actually be removed, as silicone tape does not have scar-reducing effects.
To achieve scar reduction, it is recommended to purchase and try scar gel.

Reply Date: 2023/06/18

More Info


After undergoing surgery for fibroadenomas, it is essential to understand the proper post-operative care and recovery strategies to ensure optimal healing and minimize complications. Fibroadenomas are benign tumors of the breast, and while surgery is often straightforward, the recovery process requires attention to detail.


Understanding Post-Surgery Symptoms
1. Hardness Around the Incision: It is common to experience some hardness around the surgical site, especially near the nipple area. This can be due to swelling, scar tissue formation, or the healing process itself. The body responds to surgery by sending blood and nutrients to the area, which can lead to temporary swelling. As healing progresses, this hardness should gradually diminish.

2. Pain and Discomfort: Some pain or tenderness around the incision sites is expected. If the pain is severe or worsening, it is crucial to consult your healthcare provider. They may recommend pain management strategies or assess for any potential complications.


Wound Care
1. Beauty Tape (Surgical Tape): The duration for which you should keep the beauty tape on your incisions can vary. Generally, it is recommended to keep the tape on for about one to two weeks, or until your follow-up appointment, unless otherwise instructed by your surgeon. The tape helps to support the healing skin and minimize scarring.

2. Bathing and Water Exposure: While it is essential to keep the surgical area clean, you should avoid soaking the incisions in water (like in a bath or swimming pool) until they are fully healed. However, gentle showering is usually acceptable. Ensure that you do not directly spray water on the incisions. Pat the area dry gently after showering, and avoid rubbing.

3. Medication and Follow-Up: If your doctor prescribed any topical ointments or medications, follow their instructions carefully. If you have stopped changing the dressings, ensure that the incisions are clean and dry. If you notice any signs of infection (increased redness, swelling, warmth, or discharge), contact your healthcare provider immediately.


Activity and Exercise
1. Physical Activity: It is crucial to avoid strenuous activities, heavy lifting, or vigorous exercise for at least a few weeks post-surgery. Light activities, such as walking, can be beneficial and help with circulation, but listen to your body and avoid any movements that cause pain.

2. Gradual Return to Exercise: Once your doctor gives you the green light, you can gradually return to your regular exercise routine. Start with low-impact activities and slowly increase intensity as tolerated. Always consult your healthcare provider before resuming any exercise, especially if it involves the upper body.


Monitoring Recovery
1. Follow-Up Appointments: Regular follow-ups with your surgeon are essential to monitor your healing process. They can assess the surgical site, address any concerns, and provide guidance on when you can resume normal activities.

2. Emotional Well-Being: Surgery can also take an emotional toll. It’s normal to feel anxious or concerned about your recovery. Consider discussing any worries with your healthcare provider or a mental health professional if needed.


Conclusion
In summary, post-surgery care for fibroadenomas involves careful monitoring of the surgical site, managing pain, and gradually returning to normal activities. Pay attention to your body’s signals and maintain open communication with your healthcare provider. If you have any concerns about your recovery or the appearance of your incisions, do not hesitate to reach out for professional advice. Your health and well-being are paramount, and proper care will facilitate a smoother recovery process.

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