Support Garments after Breast Surgery

Dr Michael Kernohan MBBS, MSc, BDS, MRCS, FDSRCS, FRCS(Plast), FRACS (Plast

The Essential Role of Support Garments and Bras after Breast Surgery

Many breast surgery patients are surprised to learn that the right support garment can make a significant difference in their post-surgery comfort and healing process. In fact, a well-fitted bra or compression garment can be as essential to your recovery as following Specialist Plastic Surgeon Dr Michael Kernohan’s instructions for incision care and pain management.

But with so many options available, how do you choose the right support garment for your needs? And what should you expect in terms of fit, comfort, and care?

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Why Are Support Garments Important After Breast Surgery?

Following breast surgery, your body experiences significant changes and begins the healing process. During this time, wearing the right support garment is essential to ensure a smooth and comfortable recovery. Support garments, also known as compression garments, are specially designed to provide a range of benefits that can help you heal faster and more comfortably.

Reduce swelling

One of the most common side effects of breast surgery is postoperative swelling, also known as oedema. This occurs when excess fluid accumulates in the tissues surrounding the surgical site, causing discomfort and even pain. Support garments are designed to apply gentle, consistent pressure to the chest area, which helps to minimise swelling by promoting fluid drainage. By reducing swelling, support garments can help alleviate discomfort and speed up the healing process.

The compression provided by these garments works by encouraging the movement of excess fluid away from the surgical site and back into the bloodstream, where it can be naturally eliminated from the body. This process, known as lymphatic drainage, is crucial for reducing swelling and preventing complications such as seroma formation, which occurs when fluid builds up under the skin.

Provide comfort

Comfort is a top priority during the recovery period, and a well-fitted support garment can play a significant role in helping you feel more at ease. The soft, breathable materials used in these garments are designed to be gentle on your skin and minimise irritation around the surgical site. Many support garments feature seamless designs and adjustable straps to ensure a customised, comfortable fit that adapts to your body as it heals. As your body heals from breast surgery, it is important to minimise unnecessary movement and strain on the surgical site. Support garments are designed to hold your breasts in place, providing a stable and supportive environment that allows your body to focus on healing.

Promote healing

Support garments are not only designed for comfort; they also actively promote healing by encouraging proper blood flow and lymphatic drainage. The compression provided by these garments helps to increase circulation in the affected area, which is essential for delivering oxygen and nutrients to the healing tissues. This increased blood flow can help speed up the healing process and reduce the risk of complications such as infection or delayed wound healing.

Types of Support Garments

When it comes to support garments after breast surgery, there are various options available to cater to your specific needs and the type of surgery you’ve undergone. These garments are designed to provide the necessary support, comfort, and compression to aid in your recovery process. Some common types of support garments include:

Surgical bras

Surgical bras are a type of support garment specifically designed for use immediately after breast surgery. These bras are crafted with your post-surgery comfort and convenience in mind. They usually feature front closures, such as zippers or Velcro, which make it easier to put on and take off the bra without having to lift your arms over your head or struggle with hooks at the back. This is particularly helpful in the early stages of recovery when your mobility may be limited, and you want to avoid putting unnecessary strain on your incisions.

In addition to the convenient front closures, surgical bras often have wide, adjustable straps that help distribute the weight of your breasts evenly across your shoulders. This design helps to reduce pressure on your incisions and minimise discomfort. The straps are usually made from a soft, stretchy material that won’t dig into your skin or cause irritation.

Another key feature of surgical bras is the use of soft, breathable fabrics. These materials, such as cotton or bamboo, are gentle on your skin and allow for proper air circulation, which can help reduce the risk of irritation or infection around your incisions. The breathable fabric also helps to keep you cool and comfortable, especially during the healing process when your body temperature may fluctuate.

Compression bras

Compression bras are similar to surgical bras in that they provide support and comfort after breast surgery. However, they are designed to offer a more snug and compressive fit. The primary purpose of a compression bra is to help reduce post-operative swelling by applying gentle, consistent pressure to the breast area. This pressure helps to promote fluid drainage and minimise inflammation, which can contribute to a faster and more comfortable recovery.

Like surgical bras, compression bras are usually made from soft, breathable materials that are gentle on your skin. They may also feature front closures and adjustable straps for ease of use and customisable comfort. Some compression bras may have additional features, such as built-in pockets to hold surgical drains or removable padding to accommodate changes in breast size during the healing process.

It’s important to note that while compression bras provide a snugger fit, they should not be so tight that they cause pain or restrict blood flow. Dr Kernohan and his team can help you determine the appropriate level of compression for your individual needs and guide you in selecting a bra that offers the right balance of support and comfort.

Sports bras

As you progress in your recovery, Dr Kernohan may recommend transitioning from a surgical or compression bra to a supportive sports bra. This transition usually occurs when your incisions have healed sufficiently, and you no longer require the same level of compression or support provided by the specialised post-surgery garments.

When choosing a sports bra, look for styles that offer a combination of comfort, support, and flexibility. Bras with wide, adjustable straps can help distribute the weight of your breasts evenly and prevent the straps from digging into your shoulders. A wide, comfortable band that sits snugly around your ribcage can provide additional support without constricting your breathing or causing discomfort.

Opt for sports bras made from moisture-wicking, breathable fabrics that can help keep you cool and dry during activities or in warm weather. Some sports bras may feature seamless designs or smooth, flat seams to minimise chafing and irritation, especially around sensitive post-surgery areas.

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When to Wear Your Support Garment

Dr Kernohan will give you specific instructions on when and how long to wear your support garment. In most cases, you’ll be advised to wear it day and night for the first few weeks after surgery, removing it only for bathing or when Dr Kernohan says it’s okay to do so.

As you heal, you can gradually transition to wearing the garment for shorter periods during the day, and eventually, you may only need to wear it during strenuous activities or exercise.

Choosing the Right Size and Fit

To ensure maximum comfort and effectiveness, it’s essential to choose a support garment that fits you properly. Here are some tips to help you find the perfect fit:

  • Get measured: Before purchasing a support garment, have a professional measure your chest to determine your size. Keep in mind that your size may change as swelling subsides.
  • Look for adjustable features: Garments with adjustable straps and closures can help you achieve a customised fit and accommodate changes in swelling.
  • Consider fabric: Opt for soft, breathable fabrics that won’t irritate your skin, such as cotton or bamboo.
  • Avoid underwires: While you’re healing, it’s best to avoid bras with underwires, as they can put pressure on incisions and cause discomfort.

Caring for Your Support Garment

To ensure that your support garment remains in excellent condition and continues to function effectively, it is essential to follow these detailed care instructions:

  • Hand Washing: Gently wash the garment by hand using cool water and a mild detergent formulated for delicate fabrics.
  • Machine Washing: If you prefer using a washing machine, set it to a gentle cycle. Again, use only mild detergents and ensure that the water temperature is cool to prevent damage to the fabric.
  • Avoid Harsh Chemicals: Steer clear of using fabric softeners or bleach. These substances are harsh and can deteriorate the fabric’s quality and lessen the compression the garment provides.
  • Air Drying: Always air dry the garment by laying it flat on a clean surface or hanging it up. Avoid direct sunlight which might degrade the fabric over time.
  • Avoid Heat: Never use a tumble dryer. The heat can be detrimental, causing the fabric and elastic to weaken and lose their integrity.
  • Monitor Condition: Regularly check the condition of your garment. Look for signs of wear such as stretching or deformities in shape.
  • Timely Replacement: It is important to replace the garment if you notice it has stretched out or lost its original shape. A misshapen garment will not provide the necessary support and could lead to discomfort or inadequate compression.

Transitioning to Regular Bras

As your recovery progresses, you’ll eventually be able to transition back to wearing regular bras. However, it’s essential to choose bras that offer enough support and comfort. Look for bras with the following features:

  • Soft, breathable fabrics
  • Wide, adjustable straps
  • A supportive band that doesn’t ride up or dig in
  • Cups that provide full coverage and support

Remember to listen to your body and consult with Dr Kernohan if you experience any pain or discomfort while wearing a regular bra.

FAQs about Support Garments after Breast Surgery

FAQs

Can I wear an underwire bra after breast surgery?

  • It’s recommended to avoid underwire bras in the initial stages of recovery, as the wire can put pressure on your incisions and cause discomfort. Stick to soft, wireless support garments until Dr Kernohan advises otherwise, which is usually several weeks or months after surgery.

How often should I wash my support garment?

  • Wash your support garment as needed, typically every 2-3 days, or more frequently if you experience excessive sweating. Always follow the care instructions provided by the manufacturer, which usually involve hand washing or machine washing on a gentle cycle with mild detergent and air drying to preserve the garment’s shape and compression.

What should I do if my support garment feels too tight or uncomfortable?

  • If your support garment feels excessively tight or causes pain, skin irritation, or difficulty breathing, contact your plastic surgeon promptly. He may recommend adjusting the fit, trying a different size or style, or modifying your wear schedule to ensure your comfort and proper healing.

Can I wear a regular sports bra instead of a special post-surgery support garment?

  • While a regular sports bra may offer some support, it’s essential to use the specific support garments recommended by your plastic surgeon after surgery. Post-surgery garments are designed with features like front closures, adjustable straps, and targeted compression that regular sports bras may lack. Stick to the garments specifically designed for post-surgery use until your surgeon advises a transition.

How many support garments should I have during my recovery?

  • It’s a good idea to have at least 2-3 support garments on hand during your recovery. This allows you to rotate them for washing and ensures that you always have a clean garment available to wear.

Further Reading about Breast Surgery with Dr Michael Kernohan

Medical References about Support Garments after Breast Surgery