Recovery After Breast-Conserving Surgery

Although breast surgery is often a small procedure, a breast cancer diagnosis can be physically - and emotionally exhausting. In this video, I'll take you through the key steps of your recovery and the importance of taking one step at a time. In terms of your surgery - your scar will usually be placed at the edge of the areola, and will not be visible under clothing. It may appear red, or raised at first, but this will fade. All stitches are dissolvable, although you may feel small ends of the suture, these will fall away naturally over time. Your wound will be covered with a waterproof membrane, and a protective dressing. Keep the dressing dry for the first 48 hours. After this, you can shower, but avoid soaking the dressing. If it becomes itchy or uncomfortable, you can remove it. The dressing should stay on for a week. If your wound weeps, or the dressing needs to be changed - let us know so we can check it for you. Once the dressing is removed, avoid rubbing soap, or shower gel directly onto your wound. After washing, pat it dry with a soft towel, and do not pick at any scabs. After a couple of weeks - applying bio-oil, or vitamin E-based oil can help soften the scar, and improve its appearance. You may need to be patient, as scars can take months to fade. You may also experience tingling, or mild pain around the scar - especially in the first few days. This is normal, as your surgeon may have used a local anaesthetic, which delayed the onset of pain. Take pain relief as needed. Simple painkillers like paracetamol, and ibuprofen are usually enough. Try to avoid strong painkillers - such as opiates, unless necessary. Some swelling, and a heavy feeling in the breast are common. You may also notice bruising around the scar, or in other areas due to tissue shifting. A small lump of fluid, (or seroma) may form. This usually dissolves on its own, but if it persists, we may need to drain it in the clinic. Also a firm, tense bruise (or haematoma) may develop, causing discomfort. If you experience this, speak with your nurse for advice on managing symptoms. There are no strict restrictions on physical activity, but do take short walks in the first few days to maintain mobility - a supportive sports bra can help with comfort. After a week, you can start simple exercises like using a stationary bike. However, avoid swimming for at least a month to allow proper healing. Feeling tired or emotionally overwhelmed is completely normal - even small operations can feel draining. Be patient with yourself, and allow time for rest. Take short walks, and clear your schedule when needed. Don’t hesitate to reach out to your healthcare team if you need additional support. Some painkillers, particularly those containing codeine, can cause constipation. So it's recommended to drink plenty of water and eat fiber-rich foods - such as fresh fruits, and vegetables to help digestion. Recovery takes time, and everyone heals at their own pace. Listen to your body, take things slowly, and reach out if you have any concerns. Everyone's recovery is different, and some may heal faster than others. Try not to compare your progress to anyone else’s. Focus on your own journey, and what feels right for you. Keeping a positive mindset, and accepting the changes your body is going through can help make the healing process smoother. We will arrange regular follow ups and check you are making good progress. Normally - you will have a mammogram every year going forward. We are here to support you, so don't hesitate to ask questions, or express any concerns you may have. Finally, thank you for watching, and for choosing The Breast Clinic for your care. Please contact us anytime if you have questions or concerns.