How to care for your wounds after breast surgery

Woman holding her chest showing a healed breast surgery scar.

Caring for your surgical wounds after breast surgery

Following breast surgery, you will have a surgical incision on your breast and possibly your armpit. If you have had tissue reconstruction, sometimes called autologous reconstruction, you may also have a wound on your abdomen, back, or thigh.

Caring for your surgical wounds is an important part of recovery. Before leaving the hospital, make sure you have clear written wound care instructions from your surgical team and understand when you will return for follow-up appointments with your surgeon, specialist nurse, or healthcare team.

Whether you are recovering from a mastectomy, breast reconstruction, breast augmentation, breast reduction, or another breast procedure, following your post-operative wound care instructions may help support healing and reduce the risk of complications.

Why post-operative wound care is important

The skin acts as the body's first line of defence against infection and other external threats. When a surgical incision is made, this protective barrier is temporarily disrupted, making it easier for bacteria on the skin to enter the body.

Not following your post-operative wound care instructions may increase the risk of complications such as: 

  • Infection

  • Delayed wound healing

  • Increased pain

  • Scarring

Following the guidance provided by your surgical team is an important part of supporting recovery after breast surgery.

Showering and caring for your dressings

After surgery, it is common to go home with dressings covering your surgical wounds.

Most surgical units allow patients to shower around 48 hours after surgery using a mild antibacterial soap. Your first shower may take place before leaving the hospital so your healthcare team can provide guidance if needed.

After showering, it is important to ensure your dressings are dried thoroughly. This can be done using a clean towel or a hairdryer on a cool setting.

Keeping dressings dry is important because bacteria are particularly attracted to warm, moist environments.

Signs of infection after breast surgery

Your surgical team will take steps to help prevent infection following your operation. However, it is important to know what symptoms to watch for during the first few weeks of healing.

Signs of a possible wound infection may include

  • Increased pain 

  • Redness around the wound 

  • Skin that feels hot to the touch

  • Fluid leaking from the wound

  • Increased swelling

  • An unpleasant smell from the wound

  • A temperature

  • Cold or flu-like symptoms

  • Aches and chills

If you notice any of these symptoms, contact your surgical team or healthcare provider.

Factors that can affect wound healing

Several factors may influence how your surgical wounds heal after breast surgery.

These may include

  • Chemotherapy before surgery

  • Radiotherapy before surgery

  • A BMI over 30

  • A diet lacking in protein, vitamins, and minerals

  • Chronic health conditions such as diabetes

Supporting your overall health before and after surgery may help support the healing process.

For additional guidance, you may find these articles helpful

Supporting your recovery after breast surgery

Looking after your surgical wounds is an important part of recovery after breast surgery. Understanding how to care for your dressings, knowing what signs of infection to look for, and following your surgical team's instructions may help support healing and recovery.

For more expert-reviewed guidance on preparing for surgery and optimizing recovery, download the free BLOOM⁴³ app.

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Reviewed by healthcare experts

Every article has been reviewed by a qualified healthcare professional to ensure accuracy and reliability.

Laura Jane Powell

Laura Jane or LJ is no regular nurse! She is an advanced Plastic Surgery Nurse with 16 years experience in onco-plastics, breast reconstruction trauma, burns, wound care and scar management.

She has worked in some of London's top hospitals including Guys and St Thomas, Chelsea and Westminster and the Royal

Marsden.

She has also been able to combine her love of nursing with tattooing and is one of the UKs leading providers of areola and medical tattooing and runs both an NHS and private clinic for areola tattooing and is a member of the Mastectomy Tattooing Alliance charity.

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