What to Expect After My Mastectomy or Lumpectomy?

October 18th, 2024

Written By: Dr. Pavi Kundhal, MD, MBA, FRCSC

Disclaimer: This information is general and may not meet individual needs. For a personalized plan tailored to your unique lifestyle and clinical requirements, book a free introductory call at 437-500-5000.

Undergoing a mastectomy or lumpectomy is a significant step in your journey, and it’s normal to have questions and concerns about what comes next. Understanding what to expect after surgery can help ease some of the anxiety and prepare you for the road to recovery. Let’s walk through the basics together, with timelines to guide you. 

1. The Recovery Room: Waking Up After Surgery 

When you first wake up after surgery, you’ll likely be in a recovery room. This space is designed to monitor you closely as you wake up from the anesthesia. This initial recovery period typically lasts 1 to 2 hours. During this time, you might feel groggy, and it’s normal to experience some discomfort in your chest area. The medical team will be there to ensure you’re comfortable and managing any pain with medication. 

Tip: If you wake up feeling disoriented, try to focus on your breathing. Inhale deeply through your nose and exhale slowly through your mouth. This can help you feel more grounded and reduce anxiety. Remember, it’s okay to ask the nurse to explain what’s happening if you’re feeling uncertain. 

Guidance: You may feel some tightness or pressure around your chest due to the bandages. To help ease this, ask your nurse to show you how to adjust your position in bed for comfort. Bringing a small pillow or cushion from home to place under your arm can also offer extra support and reduce strain on your chest. 

2. Pain Management: What You Need to Know 

Pain is a common concern, but rest assured, it can be managed effectively. Pain typically peaks within the first 48 hours after surgery and then gradually decreases over the next few days. You’ll likely receive pain medication to keep you comfortable during this time. It’s important to communicate with your healthcare team about how you’re feeling so they can adjust your medication if needed. 

Tip: Keep a small notebook by your bed to jot down your pain levels throughout the day, along with the times you take your medication. This can help you track patterns and share accurate information with your healthcare team. It also allows you to stay on top of your medication schedule, preventing pain from becoming unmanageable. 

Guidance: In addition to medication, you can try applying an ice pack to the surgical area (with a layer of cloth between the ice and your skin) to help reduce swelling and numb the pain. Deep breathing exercises and gentle stretches recommended by your care team can also help alleviate tension in your muscles, contributing to overall pain relief. 

3. Drain Care: What’s That About? 

After surgery, you might have surgical drains in place to help remove fluid from the surgical area. These drains are usually placed during surgery and are typically removed within 7 to 14 days by a homecare nurse or surgeon. While these might seem intimidating at first, your care team will show you how to care for them. In some provinces, Home Care will be arranged to help you manage the drain, ensuring you have the support you need during this process. Removal is simple, involving cutting the stitch and a gentle tug, followed by placing a band-aid over the drain site. 

Tip: Set up a comfortable spot at home where you can manage your drains with ease—a bathroom counter or a bedside table works well. Keep all your supplies (gauze, cleaning solution, a small notepad for logging fluid output) organized in one place. If you find the sight of the drains unsettling, consider covering them loosely with a clean, soft cloth when you’re not tending to them. 

Guidance: It’s important to avoid tugging on the drains. When you’re moving around, secure the drain bulbs to your clothing with safety pins or place them in a pocket to prevent accidental pulling. Also, don’t hesitate to reach out to your healthcare provider if you notice any changes, such as increased redness, swelling, or if the fluid becomes cloudy or has a foul odor—these could be signs of infection that need prompt attention. 

4. Healing and Wearing a Bra After Surgery 

As you recover from your mastectomy or lumpectomy, you may notice a soft lump in your breast or chest area. This lump is part of the healing process and typically forms where the incision was made. Over time, this lump may gradually harden. It’s important to understand that this is normal and is not a sign of cancer returning—it's simply the way your body heals. 

Tip: If you choose to wear a bra, it should be well-fitted and supportive. A post-surgery bra is often recommended, as it’s designed to provide gentle compression and reduce swelling. You should wear the bra during both day and night for the first week after surgery to support your healing tissues. 

Guidance: Look for a bra with soft, seamless fabric that doesn’t irritate your skin. Front-closure bras can be easier to manage since they don’t require you to reach around to fasten them. If you’re unsure about which bra to choose, ask your healthcare provider or a professional fitter who specializes in post-surgery garments. 

5. Getting Back on Your Feet: Recovery at Home 

Once you’re home, it’s important to rest, but also to move around a bit each day. Most patients start with light activities within 1 to 3 days post-surgery. Gentle movements like short walks can help with circulation and prevent stiffness. However, avoid heavy lifting or strenuous activities for at least 4 to 6 weeks until your doctor gives you the green light. 

Tip: Set small, achievable goals for yourself, such as walking to the kitchen or around your garden. These little milestones can boost your confidence and help you regain your strength gradually. You can even set reminders on your phone to get up and move every couple of hours, preventing stiffness and promoting circulation. 

Guidance: Pay attention to your body’s signals. If you feel tired, it’s okay to rest. Don’t push yourself too hard—your body is healing, and it’s important to strike a balance between movement and rest. Additionally, when you start incorporating light stretching, focus on slow, controlled movements. If you experience any sharp pain, stop immediately and consult your healthcare provider. 

6. Emotional Healing: Give Yourself Grace 

The emotional side of recovery is just as important as the physical. It’s completely normal to feel a range of emotions after surgery—relief, sadness, anxiety, or even anger. These feelings can fluctuate, especially within the first few weeks as you adjust to your new reality. Talk to your loved ones, or consider speaking with a counsellor who specializes in cancer care. Remember, it’s okay to ask for help. 

Tip: Journaling can be a powerful tool for processing your emotions. Set aside a few minutes each day to write down your thoughts, fears, and feelings. This practice can help you make sense of your emotions and provide an outlet for releasing stress. 

Guidance: Connect with others who have been through similar experiences. Support groups, either in-person or online, can offer a sense of community and understanding. Sometimes, just knowing that others have navigated the same challenges can be incredibly reassuring. It’s also important to practice self-compassion—give yourself permission to feel whatever you’re feeling without judgment. 

7. Follow-Up Appointments: Keeping Tabs on Your Progress 

Your healthcare team will schedule follow-up appointments to check on your recovery and discuss the next steps in your treatment plan. These typically occur 1 to 2 weeks after surgery. These visits are your chance to ask questions and discuss any concerns. It’s all part of ensuring you’re healing well and on track. 

Tip: Before each follow-up appointment, make a list of any questions or concerns you want to discuss with your doctor. It can be easy to forget things in the moment, so having a list ensures that all your concerns are addressed. 

Guidance: If you’re feeling anxious about these appointments, bring a trusted friend or family member with you. They can offer support, take notes, and help you remember the information discussed. Also, don’t hesitate to ask for clarification if something isn’t clear—your peace of mind is important. 

8. What About the Future? 

Many women wonder about life after a mastectomy or lumpectomy—whether it’s returning to work, resuming hobbies, or considering reconstruction options. Typically, you can begin considering returning to light work or daily activities after 1 to 3 weeks, depending on how you feel and whether additional treatments are required. Your doctor will guide you on when it’s safe to resume normal activities and discuss any additional treatments or surgeries. 

Tip: Take it slow when returning to your regular activities. Start with low-impact hobbies that you enjoy, such as reading, knitting, or light gardening. These can help you ease back into your routine without putting too much strain on your body. 

Guidance: If you’re considering breast reconstruction, give yourself time to explore all the options. Attend consultations with your surgeon, ask questions, and gather information to make an informed decision. Remember, there’s no rush—what’s most important is choosing the path that feels right for you. 

Final Thoughts 

Recovery after a mastectomy or lumpectomy is a process, but you’re not alone. Your healthcare team is there to support you every step of the way, and it’s okay to take things one day at a time. Remember, healing is both physical and emotional, so be kind to yourself as you navigate this journey. 

 

This blog is for informational purposes only and should not be considered medical nutrition therapy, medical advice, or a diagnosis. It is not a substitute for professional consultation or recommendations from your healthcare provider. 

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