After your breast cancer operation
This page tells you about getting over breast surgery. There is information about
After a mastectomy or surgery to your armpit, your nurse will show you exercises to help you recover. Do the exercises until you have full movement back in your arm and shoulder.
Don't lift or carry anything heavy, or drive, while your scars heal up. Until your surgeon has given you the okay, don't do any housework (such as vacuuming, mopping or cleaning) with your affected arm.
Your false breast
If you have had the whole breast removed (a mastectomy), you'll have a lightweight artificial breast shape (prosthesis) to put inside your bra. After about 4 to 6 weeks you will be ready for your permanent prosthesis. Many types of artificial breast shapes are available free on the NHS. Your artificial breast shape sits inside your bra. Women who have had part of a breast removed can use a partial prosthesis or a shell prosthesis.
Possible problems after surgery
After surgery some women may have problems with wound infection, or with fluid collecting around the operation site (known as a seroma). Numbness or tingling in the upper arm is normal at first but should go after a few weeks or months. Swelling of the arm or hand is also normal at first, but needs treatment if it doesn't go away. If you are worried about any of these, contact your surgeon or breast care nurse.
You can view and print the quick guides for all the pages in the Treating breast cancer section.
How long you stay in hospital depends on the type of surgery you have. After surgery to remove a lump or an area of your breast, you are likely to stay in hospital for just 1 or 2 days. After removal of the whole breast (a mastectomy) you usually stay in hospital for an extra day or so. After some types of breast reconstruction you may need to stay a little longer.
It can be comfortable to wear loose clothing so that it doesn't press on the wound. The doctors and nurses will encourage you to move around as soon as possible after the operation. You may have soreness or discomfort for a while. But painkilling drugs can usually control the soreness well. If you do have pain, tell your nurse or GP as soon as possible so that they can adjust your painkillers if necessary.
After a mastectomy or if you have surgery to your armpit, your surgeon and nurse will ask you to do regular exercises to help you recover. Your arm may feel stiff on the side where your breast was removed. Simple arm exercises can help to
- Give you back your full range of movement
- Relive pain and stiffness
- Reduce swelling
After surgery, do the exercises until you have full movement back in your arm and shoulder. Ideally, you should do these twice a day.
To start with, the exercises are quite gentle. The aim is to get your arm and shoulder moving as it was before the surgery. You can begin each session by circling your shoulders, to get the muscles moving. Other early exercises are brushing or combing your hair, putting your arms behind your back and touching your shoulder with your hand. As you get stronger and more confident, you can do more of the exercises and gradually increase the range of movements.
Breast Cancer Care's free leaflet called Exercises after breast cancer shows the whole exercise programme you need to do.
Talk to your surgeon or breast nurse if you have ongoing problems with arm or shoulder pain, stiffness or swelling. You may need to see a physiotherapist, who can show you further exercises.
If you have had breast reconstruction surgery the exercises you do are different and depend upon the type of reconstruction you have had. There is separate information about exercises after reconstruction using a simple implant of tissue expander implant and about exercises after breast reconstruction surgery using muscle from your back in the section about breast reconstruction.
Below is a short video showing you how to do exercises after breast cancer surgery. Click on the arrow to watch it.
View a transcript of the video showing exercises after breast cancer surgery (opens in new window).
If you have had a mastectomy, you'll have a lightweight artificial breast shape (prosthesis) to put inside your bra. These are often called cumfies. If you want to, you can wear it right after the operation, even if the area still feels tender. Some women are happy with their cumfy and continue wearing it, rather than getting another type of permanent prosthesis.
Once your scar has healed and you have finished any radiotherapy you may need, you will be ready for your permanent prosthesis. You have this fitted by the breast care nurse at the hospital where you had your surgery. It is usually done in the outpatient department about 4 to 6 weeks after your surgery.
Many types of artificial breast shapes are available free on the NHS. If you are a private patient, you may have to pay for this. Or you can ask for a referral to the NHS prosthesis fitting service.
The breast shapes come in different sizes, shapes and colours. Most women should be able to find something they are happy with on the NHS. But, if not, there is more choice available if you buy your own from a manufacturer.
Your artificial breast shape sits inside your bra. There are special mastectomy bras available with pockets to hold the prosthesis. But you don't normally need a pocket. If your bra fits well and has full cups (rather than a low plunge), you should be fine. If you want to, you can have pockets sewn inside your own bras free of charge on the NHS. Ask your breast care nurse about this. To look after your prosthesis, you should wash and dry it daily.
If you like to swim, you can wear your usual prosthesis or make your own swimming prosthesis by cutting an ordinary sponge to fit. If you use your usual prosthesis, rinse it in clean water afterwards to get rid of any chlorine or salt. If you use a sponge, you can discreetly press your arm against it when you come out of the water, to squeeze the water out. Many organisations supply bras and swim wear for women who have had a mastectomy. Look in the breast cancer organisations section for some names and addresses.
Women who have had part of a breast removed can use a partial prosthesis or a shell prosthesis. A partial prosthesis is shaped to fit the tissue you've had removed. It can fill out the bottom, top or side of your bra. A shell prosthesis is a hollow breast shape that fits over your remaining breast tissue. With a bra on, your breast will look the same size and shape that it was. To find out about either of these special types of prosthesis, talk to your breast nurse or contact one of the breast cancer organisations.
You can get a new artificial breast shape every 2 years on the NHS. You may need a new prosthesis if yours gets worn or damaged. You may also need to replace it if you gain or lose weight.
When you go home, your nurse will give you the date for an outpatient appointment for a post operative check up. Your surgeon will make sure everything is OK after the surgery. You can bring up any problems or things that have been troubling you since you went home. You might want to make a note of any concerns that you have during these first weeks after your operation. Then you can have them to hand at your appointment.
Before this appointment your surgeon will discuss all the results of your surgery and your tests with a group of doctors and other health professionals. The group is called the breast care multidisciplinary team (MDT). Together they will decide which further treatment you may need. So at the appointment, your surgeon will also discuss further treatment with you. They may refer you to a radiotherapy specialist (clinical oncologist) or a medical oncologist (a specialist in chemotherapy).
When you get home, take things gently. You may feel very tired, so have plenty of rest and try to eat a well balanced diet.
Don't lift or carry anything heavy, or drive, while your scars heal up. After a wide local excision this is likely to be after about 2 weeks. After mastectomy it may take longer. Check with your surgeon or breast care nurse when it is okay to do heavier work (such as vacuuming or shopping) with your affected arm. But do carry on with your arm exercises and some light exercise. It will help you to get better more quickly.
What you can manage to do will vary, depending on how much surgery you've had. Some women find even filling a kettle too heavy at first. The main thing is to take it carefully and stop if you feel any strain.
After surgery some women may have problems with
- Wound infection
- Fluid collecting around the operation site
- Nerve pain
- Swelling of the arm or hand
- Scar tissue in the armpit (cording)
If your operation site becomes red, inflamed, or painful, or there is a fluid (discharge) leaking from your wound site, you may have an infection. Contact your surgeon or breast care nurse. If you have an infection, you will need antibiotics to clear it up.
Sometimes fluid continues to collect near the wound after your wound drains have been taken out. This is called a seroma. It causes swelling and pain and can increase the risk of infection. The fluid usually goes away on its own. Sometimes a nurse needs to drain the fluid off with a needle and syringe. They may need to do this a few times.
For some women, the fluid takes a long time to go. It can take up to a few months after your surgery. Contact your surgeon or breast care nurse if you think you have a seroma developing.
You may have numbness or tingling in your upper arm, particularly if you had your lymph nodes removed. This is normal and happens because some nerves are cut during the operation and need to repair themselves. It can take a few weeks or months to go. If it continues, get in touch with your breast care nurse or surgeon.
You may have some swelling in your arm or hand after your operation. This is normal. But it should start to go away as you do the exercises to get back the movement of your shoulder and arm.
If you continue to get a lot of swelling, pain or tenderness in your arm or hand, let your breast care nurse or surgeon know as soon as possible. After surgery or radiotherapy to the armpit, there is a risk of developing permanent swelling called lymphoedema. Once you have lymphoedema it can't be cured but early treatment can effectively control it. Look at the information about lymphoedema page for ways of preventing lymphoedema.
Some organisations give information about what to expect after breast cancer surgery. And they can put you in touch with cancer support groups where you can talk to other people who have been through similar experiences to your own.
Some women develop scar tissue in the armpit (axilla), which forms a tight band. This can happen 6 to 8 weeks after the operation. The scar tissue is called cording or banding and can feel something like a guitar string. Cording is harmless but can be uncomfortable. It can get better after some time if you massage the area of the scar tissue. Your specialist nurse or a physiotherapist can teach you how to do this.
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