Acellular Dermal Matrices in Breast Surgery, an Issue of Clinics in Plastic Surgery by Richard E. Baxter

Author:Richard E. Baxter [Baxter, Richard A., MD ]
Language: eng
Format: epub
Publisher: Elsevier Health Sciences
Published: 2012-03-14T16:00:00+00:00

Fig. 1 (A) Typical elevation of implant and inframammary fold (IMF) after radiation. (B) Postoperative appearance after lowering the left IMF only, and a vertical mastopexy on the right.

Postoperative Care

• A surgical bra is placed, and patients are typically discharged from hospital the next morning, even in bilateral cases.

• I continue oral antibiotics for 1 week and remove the drain(s) when output is less than 50 mL in 24 hours.

• Irradiated patients, obese fatty breasts, and axillary dissection patients drain longer.

• I get anxious if significant drainage persists for longer than 14 days, and I may pull the drain. Occasionally this results in the need for percutaneous aspiration with ultrasound guidance/protection.

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