The Week Before Surgery

  • Certain dietary supplements can cause bleeding during surgery. It is important to stop fish oil supplements, high doses of Vitamin E, and turmeric and garlic usage 10 days prior to surgery.
  • Take a stool softener 1-2 days before surgery. Narcotic pain medication often causes constipation. Dr. Feingold recommends taking Colace 100mg 3 times daily 1-2 days before the surgery. This is an over-the-counter medication. You can also use castor oil. Castor oil works very quickly. You should see results within two to six hours after taking it. Because castor oil works so fast, it’s not a good idea to take it before bedtime, as you might do with other laxatives. Like any stimulant, laxative and castor oil shouldn’t be taken in the long term. 1-2 spoons of castor oil for the first few days to elevate constipation is recommended.
  • Pick up your prescriptions before your surgical date. To avoid post-operative nausea and vomiting, Dr. Feingold recommends that you apply the scopolamine patch the night before surgery. 

Day of Explant Surgery Instructions

Instructions for after-care are provided prior to the surgery by Dr. Randall Feingold’s team. The following are recommendations to help you heal and recover:

1. Have your prescription medications ready at home on the day of surgery.

2. Drain Care instructions are provided separately by Dr. Randall Feingold’s team; please follow them.  

3. Take medications (oral pain medication, antibiotics, and Arnica; helps with bruising) exactly as prescribed. Facebook

4. Bra – Dr. Randall Feingold will provide the first bra on the day of surgery. Your second bra will be delivered during your 5–7-day consultation. After 2-3 weeks, you may use a sports bra – here are some suggestions for sports bras.

5. Button-up shirts or PJs: Here is a link for button down shirts and PJs.

6. After breast surgery pillow: You may want to bring with you a soft pillow to use on your ride back from the surgery. Place them close to you to avoid the impact of bouncing while riding in the car.

7. Extra safety pins to pin the drains to your shirt.

8. No makeup or body lotion on the day of surgery. Remain chemical-free and use scent-free products.

9. Prepare water with lemon to help gently detox your body. It is recommended to drink celery juice in the first week; this will help to naturally eliminate excess fluids and medication, as well as improve your bowel movement. 

10. Dr. Randall Feingold doesn’t recommend popular scars formulas that contain pure liquid silicone as the silicone would be absorbed through the skin. Instead, use essential oils such as helichrysum essential oil, frankincense essential oil, lavender essential oil, or tree oil. Here is the link for organic essential oils

Day 1-3 Post-Explant Surgery

  • Rest but keep your body moving every two hours for 10 minutes to improve your lymphatic flow. Indoor walking is recommended. 
  • Best to lay down in a reclined position with your head and chest elevated over your lower body.
  • Change your incision dressings. Make sure it is clean and dry using a cotton swab with peroxide, but do not remove any steri-stripes over your stitches.
  • Continuing with hydration is crucial for detox and healing. While the average percentage of water in a person’s body is around 60%, the percentage can vary from roughly 45–75%. Water is essential for health and is necessary for numerous bodily functions. These include:
  • Cellular metabolic function
  • Waste and toxins removal
  • Protecting the spinal cord and other sensitive tissues
  • Removing waste by urination, sweating, and bowel movements
  • Regulating temperature
  • Lubricating and cushioning joints

Day 5-7 Post-Explant Surgery

1. After your post-operative visit with Dr. Feingold and once the drains have been removed, you will feel much better and be able to resume basic activities. 

2. Movement – Gradually add a range of motion to your arms and upper torso. 

3. Wear your bra around the clock.

4. Continue to clean your stitches. 

5. Minerals Spirulina is one of the richest superfoods on earth, containing a variety of minerals and health properties to detox your body from toxic heavy metals. Adding it to your diet will help you feel stronger while you continue your efforts to detox the meds and waste products from your body. 

6. Immunity Start incorporating these supplements into your daily routine. Take this combination of supplements to keep you healthy. This will help with the formation of new red blood cells and the strengthening of your immune system. I also recommend adding vitamin B6 up to 100 mg per day; this will improve circulation and the detox process in the body. B6 also helps maintain a healthy nervous system and immune system.  

7. Castor oil treatment to detox your liver – Castor oil pack for liver detox.

Day 14-30 Post-Explant Surgery

Start adding more activities as you start to feel better. 

1. Continue with care as directed.

2. Dr. Feingold recommends starting any detox protocol 14 days after surgery.

3. Continue to wear a proper bra.

4. Sleep – You may sleep flat. However, do not sleep on your stomach. 

5. Infrared Sauna for deep detox after 6 weeks.

6. Heavy metal smoothie inspired by the Medical Medium. 

7. Continue the alkaline diet with celery juice and water hydration, and supplements. 

8. Exercise – Increase range of motion and resistance gradually. Strengthen your arms and upper torso with pilates or gyrotonic while listening carefully to your body. For the first few weeks, start with no resistance and then gradually increase it. First, working with elastic bands, and later with light weights. Avoid exercises that require bouncing or pulling. Do not overdo it.

9.Chemicals and foods to avoid: fast foods, fried foods, processed meats, sugars, and refined carbs.

10. Personal care products contain a diverse combination of chemicals. Many of these chemicals are considered hormone disruptors. Hormone disruptors can affect how estrogen and other hormones act in the body by blocking them or mimicking them, which throws off the body’s hormonal balance. Because estrogen can make hormone-receptor-positive breast cancer develop and grow, it is recommended to limit the exposure to these chemicals that can act like estrogen. Phthalates are commonly used to hold color and reduce brittleness in nail polish and hairspray. They’re also a component of many personal care and cleaning products’ fragrances. Phthalates are a hormone disruptor. Phthalates don’t act exactly like estrogen, but they can disrupt the balance of other hormones that interact with estrogen, including testosterone. Avoid them or minimize your exposure to them. 

11. Scars management – Continue to use essential oils such as helichrysum essential oil, frankincense essential oil, lavender essential oil, and tree oil. 

12. Avoid any creams containing silicone; remember you want silicone out of your system.

13. Do not smoke – Smoke deprives your body of necessary oxygen, thus hindering your ability to heal properly. 

Nutrition for Healing

1. Continue with celery juice and green juice or smoothies and chicken soup enriched with root vegetables and bone broth, which will calm your body and induce alkalinity.  

2. Avoid gluten, trans fats, and processed sugars.

3. Familiarize yourself with the Alkaline healing diet – Here, you can find out about the healing benefits of the alkaline diet and instruction, which includes a PH food chart with PH food value to help you structure a more alkaline diet. 

4. Keep your diet Alkaline while reducing the acidic foods which are linked to inflammation and autoimmune illnesses.

Typical Post-Operative Symptoms

  • Discomfort, tightness, and tingling will resolve with time. Any lingering nipples, sensitivity, or lack of sensation should begin to greatly improve after 6-8 weeks. 
  • Stiffness, swelling, and bruising in the chest region are normal as the skin, muscles, and tissues are progressively healing. 
  • A mild or severe itchy feeling is normal, and it usually indicates that you are healing. If the skin becomes hot or red, you should contact your doctor immediately. 
  • Disfigured breast – This is normal, but over a period of a few weeks, it should even up. If your breasts are sagging, you may need a breast lift procedure to correct the sagging breasts. 
  • Asymmetry of the breast, or your breast heals differently – This is normal and will eventually even up.

Call your doctor’s office if you experience any of these symptoms:

  • A high fever (over 101)
  • Any pain that cannot be controlled by your pain medication. 
  • Hot red skin 
  • Bruising that doesn’t go away – or worsens every day.

To learn more about surgical treatment options for Breast Implant Removal, Breast Lift, or Fat Transfer to the breast

Contact Randal Feingold MD to schedule a consultation

by calling 516-498-8400 or email us

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