If you request an appointment you can nearly always count on being received by Dr. Karim within 2 weeks. We hold a preliminary visit in which we assess your requirements
The procedure can usually be performed within two weeks of the admission interview.
You should take things easy for at least two weeks after the procedure. Recovery from an operation is important, give yourself plenty of time and rest to recover!
You will return two weeks after the procedure for us to check your progress and, if necessary, remove the stitches.
There is a final checkup three months after the operation. During the checkup, Dr. Karim ascertains whether everything has gone well and your satisfaction with the final result.
Before the operation
A breast reconstruction is both a physical and a mental intervention. Before, during and after the operation, we will do our best to make you feel comfortable. We will provide you with all the guidance and time you need.
Since you cannot drive home after the operation (no car or bicycle), it is important for you to make travel arrangements.
Do you use blood-thinning drugs? Please let us know if you do. Ask the doctor from whom you get the prescription and find out if you can temporarily stop treatment. Your doctor will tell you how many days before the operation you should or can stop taking the blood-thinning drug. Dr. Karim wants to ensure this is possible in order to avoid unnecessary risks.
Fever or flu the day before the operation? Contact Dr. Karim to decide if the operation can be performed or should be postponed.
Cosmetics and personal care products
We understand that you always want to look your best, but on the day of surgery you cannot use skin care products or makeup.
You may feel nervous about the operation, but you can’t drink alcohol the day before (or on the day itself, of course!)! Drinking alcohol increases the chances of subsequent bleeding of the wound.
Consent to the operation and description of the procedure
Generally, before each operation, you will sign an agreement and consent form.
During the operation
We can place a silicone prosthesis under the skin and muscle as long as there is enough skin available and the main pectoral muscle is intact. If you already have a scar, we can usually avoid an additional scar.
If there is not enough skin, we can stretch your skin with a “tissue expander”. This is a type of empty balloon under the skin that fills slowly over a period of eight to twelve weeks. As a result, the skin stretches slowly. If enough skin volume has developed, we can place the prosthesis.
If the large pectoral muscle is no longer intact (damaged by radiation treatments or completely removed), we can remove tissue from your back and create a new breast.
After the operation
After the procedure, you will have two small patches placed at the bottom of your breasts and be taken to the recovery room for recovery.
You can go home the same day. When you have drains, you will return a few days later to have the tape and drains removed.
Wear a sports bra for six weeks after the procedure.
When the drains are removed, the wounds can be wet in the shower.
For the first few days you will feel pain in the breasts surrounding area. This lasts for a maximum of two weeks. During these two weeks you will need to take it easy to recover from the operation. Give yourself plenty of time and rest to recover!
If you wish, you can take two 500 mg paracetamol tablets four times a day.
After a breast reduction operation, the wound is closed with soluble stitches.
Avoid physical exertion, such as bending over and lifting heavy objects, for at least two weeks.
Six weeks after the procedure, you can begin to apply scar cream.
A breast reconstruction is a safe procedure, especially in expert hands.
General risks of any operation
Subsequent bleeding, infection, fluid retention, thromboembolism, slow healing, and unsightly scarring are all risks in any surgery.
After a breast reconstruction operation, a temporary change in nipple sensation may occur.
Opening of the wound
The wound may open if the patches or stitches are removed prematurely. Keep patches and stitches in place until 2 weeks after the procedure.
A breast reconstruction provides a long-lasting result, after approximately one year it can be considered to reach its permanent appearance.
As with any bilateral surgery, perfect symmetry cannot be guaranteed. Fortunately nothing in nature is perfectly symmetrical.
Passage of time
Over time, the breasts may change. Due to pregnancy, fluctuations in your weight, or changes in hormone regulation.