HF 8525

Breast Reconstruction Incision Care

Read this handout to learn more on how to care for your incision at home.

Incision Care

  • Remove the outer dressing (gauze and tape) 48 hours after surgery, before your first shower.

  • If your incision has Steri-Strips (white tape):

    • Leave them in place until they fall off on their own.

    • If they don’t fall off prior to your first follow-up visit, they will be removed at that time.

  • Mild drainage is normal.

    • If drainage occurs or clothing causes irritation, you may cover the area with dry gauze.

    • Otherwise, leave the incision uncovered.

  • Check your incisions daily.

Hygiene

  • Wait 48 hours after surgery before your first shower.

  • After that, take daily showers to reduce infection risk.

  • Wash gently with mild soap and water.

  • After cleaning pat dry with a clean towel or let air dry.

  • Avoid the following until fully healed (4–6 weeks):

    • Baths

    • Hot tubs

    • Swimming

Wound Vac (If Applicable)

A wound vac is a suction dressing that promotes healing by holding the incision edges together and removing fluid from the wound. It will turn off automatically after 7 days or be removed in clinic in 5-7 days. Keep the device charged and do not get it wet.

Stitches

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Some stitches dissolve on their own. Some need removal in 1–2 weeks. If removal is needed, a clinic visit will be scheduled.

When to Call

Call if you notice any signs of infections or other symptoms such as:

  • Bleeding that soaks the dressing

  • Fever over 100.5°F

  • Chills or shaking

  • Foul-smelling drainage

  • Pus or cloudy drainage (white, yellow, or green)

  • Nausea or vomiting

  • New rash

Go to the emergency department or urgent care if you have:

  • Redness

  • Increased swelling

  • Cramping

  • Uncontrolled pain

  • Warmth in the arm or leg

Call 911 immediately if you have:

  • Chest pain

  • Shortness of breath

Images used with permission from Biorender

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