Undergoing breast surgery can be both an emotional and physical journey. Whether it's for breast cancer treatment, reconstruction, or relief from discomfort due to large breasts, being prepared can ease anxiety and improve recovery.

As a Breast Oncoplastic and Reconstructive Surgeon, I believe patients deserve clarity, compassion, and confidence before stepping into the operating room. This guide walks you through everything you need to know and do before your breast surgery.

Step 1: Understand Your Procedure

Start by clearly understanding the type of surgery you are undergoing. Common breast surgeries include:

• Lumpectomy: Removal of a lump or tumour while preserving most of the breast.
• Mastectomy: Removal of the entire breast, sometimes including lymph nodes.
• Breast Reduction: Reducing the size of large breasts to relieve pain or discomfort.
• Breast Reconstruction: Rebuilding the breast shape using implants or your tissue.
• Excision of benign lesions: Like fibroadenomas or accessory breast tissue.

Ask your surgeon

• What will be removed?
• Will reconstruction be done at the same time?
• What are the risks and expected outcomes?
• Clarity reduces fear. Don't hesitate to ask questions — your understanding is essential.

Step 2: Medical Evaluation and Tests

You'll undergo a preoperative assessment to ensure you're fit for surgery. This may include:

• Blood tests
• ECG or chest X-ray (especially if over 40 or with comorbidities)
• Breast imaging (mammogram, ultrasound, or MRI)
• Anesthesia evaluation
• If you have medical conditions like diabetes, hypertension, or asthma, they must be optimized before surgery. Let your doctor know about all medications, allergies, or previous surgeries.

Step 3: Make Medication Adjustments

Some medications may need to be stopped days before surgery, such as:

• Blood thinners (aspirin, warfarin, clopidogrel)
• Certain herbal supplements
• Diabetic medications, especially if fasting is required
• Only stop medicines under your doctor's guidance. Also, discuss pain management options, especially if you have chronic pain or sensitivity to medications.

Step 4: Plan for Post-Surgery Recovery

• You will need rest and support during recovery. Make these arrangements in advance:
• A family member or friend to accompany you and help post-discharge
• Time off work (usually 1–2 weeks for minor surgery, 4–6 for major)
• Comfortable, front-opening bras (soft, non-wired)
• Loose clothing that's easy to wear
• Prepare a calm space at home with everything within reach
• If you're undergoing mastectomy or reconstruction, ask about drain care, sleeping positions, and wound dressing in advance.

Step 5: Day Before Surgery

You'll receive instructions from the hospital team. Usually, they include:

• Fasting for 6–8 hours before surgery (no food or drink)
• Shower with antiseptic soap to reduce infection risk
• Remove nail polish, jewellery, contact lenses, and makeup
• Take only essential medications (as advised by your doctor)
• Make sure you get a good night's rest. Pack a small hospital bag with:
• ID and medical documents
• Loose change of clothes
• Personal toiletries
• Any current medications
• Phone charger and comfort items

Step 6: Mental & Emotional Preparation

It's normal to feel nervous. Talking to your surgeon, counsellor, or loved ones can help reduce anxiety. Focus on the surgery's benefits— removing cancer, relieving pain, or restoring your body.

Some helpful tips

• Practice deep breathing or meditation
• Journal your thoughts if you're feeling overwhelmed
• Discuss body image concerns, especially if reconstruction or reduction is involved
• Remember, you're not alone. Your surgical team is there to guide and support you at every step.

Step 7: The Day of Surgery

Arrive on time and follow all instructions. You'll meet the surgical and anaesthesia teams, which will explain the process and answer any final questions.

Once in the operating room, you'll be put under anaesthesia, and your surgery will be performed safely and with care.

After Surgery: What to Expect

• You may wake up with dressings, drains, or compression garments
• Mild pain, swelling, and fatigue are normal
• You'll be monitored and discharged based on your surgery type
• Follow-up appointments are crucial to monitor healing

Dr Kanmani Govindrao Telkar and her team will give you specific post-op instructions, including medication, wound care, and physical activity.

Frequently Asked Questions (FAQs)

1. How long will I need to stay in the hospital?

Minor procedures like fibroadenoma excision may be day-care. For major surgeries like mastectomy with reconstruction, a 2–3 day stay may be needed.

2. Will I have a scar?

Yes, but surgical techniques are designed to minimize and conceal scarring as much as possible. Over time, scars fade and can be improved with proper care.

3. Can I shower after surgery?

Usually, it happens after 2–3 days or once the dressing is removed. Your surgeon will give you the go-ahead.

4. When can I go back to work?

Light activities can resume in 1–2 weeks for minor surgery and 4–6 weeks for major surgery. This varies depending on your healing.

5. Will I need physiotherapy?

Yes, especially after mastectomy or reconstruction. Gentle arm exercises help prevent stiffness and swelling.

Conclusion

Preparation can make your breast surgery journey smoother, less stressful, and more empowering. Trust your medical team, follow instructions, and give yourself the care and rest you need to heal.

If you're preparing for breast surgery, Dr Kanmani Govindrao Telkar will support you with expertise, empathy, and excellence.