Day 2 Post-Op

Welcome to Early Recovery

You've made it through surgery and you're now in the early recovery phase. This is when your body is doing the most intensive healing work, so rest and following post-operative instructions are crucial.

What's Normal Right Now

In the first few days after surgery, you can expect:

Physical Sensations

• Grogginess - residual effects from anaesthesia may last 24-48 hours
• Chest tightness - a sensation of tightness across your chest is normal and will ease over coming days
• Mild to moderate discomfort - not usually severe pain, more like muscle soreness
• Swelling - your chest will be swollen, making it difficult to see your final results yet
• Bruising - some bruising is common and may spread to the abdomen temporarily
• Fatigue - your body is using a lot of energy to heal, so tiredness is expected

Emotional Response

• Relief that the surgery is done
• Excitement about your new chest contour (even if swollen)
• Temporary mood fluctuations due to anaesthesia and pain medication
• Some anxiety about the healing process - this is normal

Pain Management

Most patients describe the discomfort as manageable with medication:

• Take prescribed pain medication as directed, staying ahead of any discomfort
• Don't wait until pain becomes severe - it's harder to control once it peaks
• Paracetamol and ibuprofen (if approved by your surgeon) can be taken alternately
• Ice packs (wrapped in a towel) can help with swelling and discomfort - 15 minutes on, 15 minutes off
• Avoid aspirin - it can increase bleeding risk

Compression Vest Care

The compression vest is your best friend during recovery. It helps:

• Reduce swelling by applying gentle, even pressure
• Support your healing tissues
• Help skin retract and conform to your new chest contour
• Minimize fluid accumulation

Wearing Your Vest

• Wear it 24/7 for the first few weeks (you may remove it briefly for showering once permitted)
• It should feel snug but not painful - if it's cutting into your skin or causing severe discomfort, contact your surgeon
• Don't adjust it yourself unless instructed - the fit has been carefully set
• Expect to get used to it - it may feel strange initially, but most patients adapt within days

Keeping It Fresh

• Use antibacterial wipes to clean the inside of the vest while you're wearing it
• Once you're permitted to shower, you can hand-wash the vest with gentle detergent and air dry (have a spare if possible)
• Wear a soft cotton t-shirt underneath to protect your skin and absorb perspiration

Activity Guidelines

For the first 72 hours, your activity should be very limited:

Rest and Sleep

• Sleep elevated - use 2-3 pillows to keep your upper body raised at about 30-45 degrees
• Sleep on your back - avoid sleeping on your side or stomach for at least 2 weeks
• Rest frequently - don't feel guilty about sleeping during the day; your body needs it

Movement

• Light walking is encouraged - short walks around your home help circulation and reduce blood clot risk
• No upper body movements - avoid lifting, pushing, pulling, or reaching overhead
• No lifting anything heavier than a kettle - even light lifting can strain healing tissues
• Move slowly and deliberately - sudden movements may cause discomfort

What to Avoid

• Driving (you're still recovering from anaesthesia and may be taking pain medication)
• Alcohol (can interfere with healing and interact with medications)
• Smoking (severely impairs healing)
• Any strenuous activity or exercise
• Raising your arms above shoulder height

Hygiene and Wound Care

Your surgeon will provide specific instructions, but general guidance includes:

• Keep incisions dry for the first 24-48 hours unless told otherwise
• Don't touch or inspect incisions unnecessarily - let them heal undisturbed
• Watch for drainage - small amounts are normal, but contact your surgeon if it increases
• Avoid soaking - no baths, swimming, or hot tubs for several weeks

Diet and Hydration

• Stay well hydrated - aim for 2 litres of water daily
• Eat light, nutritious meals - your appetite may be reduced; choose easy-to-digest foods
• Avoid constipation - pain medications can cause this; eat fibre and stay hydrated
• Limit salt - excessive sodium can increase swelling

Looking Ahead

Each day will bring improvements. By the end of the first week, you'll notice:

• Reduced discomfort requiring less pain medication
• More energy and alertness
• Decreased swelling (though some will remain for weeks)
• Greater ease of movement
• Ability to return to light desk work