Breast Implant Recovery Day By Day: The Bruises, Zingers, and Bad Days Nobody Films

Bri (00:00):
Over the muscle people just mosey on in here, looking like they just had a blowout and a full glam squad. And we roll in there looking homeless.

 

Dr. G (00:09):
I know, right?

 

Bri (00:11):
So glad you feel good.

 

Dr. G (00:13):
We had a long day.

 

Bri (00:15):
Someone give me a propofol dart and let me have a good nap.

 

Dr. G (00:20):
You're listening to another episode of All the B's with me, Dr. G and my scrub tech Bri. We're back on All the B's and everyone shows you after photos. No one shows you day zero, day two, when you're struggling to get out of bed, how you look when your hair is unwashed.

 

Bri (00:42):
How you smell.

 

Dr. G (00:45):
The purple marker that never seems to disappear for like two weeks. Now that being said, some of our breast dog patients, they come in looking so cute and I'm like,

 

Bri (00:56):
Half the time they come in looking better than us. And I'm like, okay. Your hair is done, your makeup's done.

 

Dr. G (01:02):
Literally somebody last week came in and she was in that cute white set, like a little white button up and white shorts. And I was like, white? Yeah. Post-op day one.

 

Bri (01:15):
Ballsy.

 

Dr. G (01:15):
Pristine. But we're going to go through a realistic day-to-day breast augmentation recovery timeline. All the little nerve pains, the zingers, the things people call about and are totally normal because that's what people want to know about what's the daily reality. We get it that once you're recovered and you're living your best life, you forget about all of that. But we're constantly seeing somebody who's post-op day one, post-op day seven, three months out. But first we would be remiss if we didn't hash out the big wedding.

 

Bri (01:50):
Which I just went off social media.

 

Dr. G (01:52):
Again.

 

Bri (01:53):
So again, I like to do it every two weeks. I have no idea about the wedding.

 

Dr. G (01:58):
So I'll catch you up.

 

Bri (02:00):
I'm ready. Let's hear it.

 

Dr. G (02:02):
Taylor Swift got married to Travis Kelce.

 

Bri (02:05):
Okay.

 

Dr. G (02:06):
Some football player at Madison Square Garden. Even though people swore that's not how it was going to go down, it absolutely went down that way, which is -

 

Bri (02:14):
Travis planned the wedding.

 

Dr. G (02:16):
Controversial. With their thousand guests.

 

Bri (02:19):
That's crazy.

 

Dr. G (02:20):
Sit on that for a minute. A thousand people. First of all, if you just said, "I'm going to have a thousand people over," it would be nearly impossible to say hi.

 

Bri (02:31):
To everyone.

 

Dr. G (02:32):
No. And then the guest list was crazy. So I read a lot about it. The guest list included obvious friends, right? It's from -

 

Bri (02:40):
Did Blake Lively show up?

 

Dr. G (02:42):
Absolutely not.

 

Bri (02:44):
Really?

 

Dr. G (02:44):
Yes. I don't think she was invited. She was in Upper New York State for the weekend posting lovey photos with Ryan Reynolds and there for one of her kids' horse show.

 

Bri (02:56):
I wonder if they're not friends anymore.

 

Dr. G (02:58):
I don't think they are. I did see a hilarious TikTok where some dude is wearing this awful blonde wig and pretending to be Blake lively, scrolling through all the social -

 

Bri (03:09):
Oh, I love that guy. I know exactly who you're talking about.

 

Dr. G (03:13):
It was so funny. It was like, "Also, what is she wearing? And so - and-so, why did she get to go? " And just going on and on.

 

Bri (03:21):
Save these for when I'm back on Instagram.

 

Dr. G (03:24):
Yes. And Ryan, are you listening? Are you listening how she's just crashing out? I mean, it would be hard if that was your bestie and now she's having the wedding of the fucking century and you're not invited, not part of it.

 

Bri (03:37):
Yeah, that's crazy.

 

Dr. G (03:39):
That would be a hard pill to swallow.

 

Bri (03:41):
Yeah.

 

Dr. G (03:42):
But whatever. So people that did come, Carly Closs, who she allegedly had a falling out with was there. Who else was sort of weirdly controversial? Zoe Kravitz, because she's currently engaged to Harry Styles, who Taylor Swift had a thing with a thousand years ago.

 

Bri (04:03):
Interesting.

 

Dr. G (04:04):
But Harry Styles busy in his tour in London, so he wasn't there. There was a ton of football players, a ton.

 

Bri (04:13):
Of course. Has to be his whole team, right?

 

Dr. G (04:16):
Did you hear who married them?

 

Bri (04:17):
No. His brother?

 

Dr. G (04:20):
No. The wedding was officiated, hard word to say, Adam Sandler.

 

Bri (04:26):
Stop it. This has to be a joke. There's no part of me that thinks Madison Square Garden and Adam Sandler marries them.

 

Dr. G (04:34):
Yes, because -

 

Bri (04:35):
Where is the connection?

 

Dr. G (04:36):
Adam Sandler was in Happy Gilmore too and Travis Kelsey had a cameo and I guess that's where they met.

 

Bri (04:44):
And they're like, "I need him to marry me". Let's make this even more silly than it already is.

 

Dr. G (04:49):
And his girls really love Taylor Swift. Like what?

 

Bri (04:54):
That's crazy. Taylor can't be happy with this wedding.

 

Dr. G (04:57):
No, I think she is. I think at some point she said, "I've invited anybody I've ever really ever talked to except for Blake Lively."

 

Bri (05:06):
That's crazy.

 

Dr. G (05:07):
And also randomly Miles Teller, do you know who that is?

 

Bri (05:11):
Yes, I love him.

 

Dr. G (05:12):
Okay. Well, his wife and her were also really good friends until less than a year ago. And they had some falling out. I think also over the Blake Lively bullshit, not at the wedding.

 

Bri (05:23):
Really?

 

Dr. G (05:24):
Uninvited or not invited.

 

Bri (05:26):
That's rough.

 

Dr. G (05:27):
I know. It's kind of weird. It would be hard. I guess that would be the hard part if you were the one person who didn't make the cut, right?

 

Bri (05:36):
That's crazy.

 

Dr. G (05:36):
Yeah. Because all these random football players got to go and -

 

Bri (05:40):
Anyone she's ever talked to.

 

Dr. G (05:42):
Yes. I'm telling you, Ed Sheeran was there. There were some music people, Kamia Cabello, Avril Levine apparently because she won the fucking purse.

 

Bri (05:50):
She really cut these bitches off.

 

Dr. G (05:52):
But then Olivia Rodrigo, not there. Sabrina Carpenter, there. That's crazy. Some random country people from her Nashville days, Marin Morris. And then there were other industry heads. So music industry, Disney executives. Was she going to make a business deal there? It was so weird.

 

Bri (06:14):
All of this just doesn't seem like...

 

Dr. G (06:17):
It's not romantic in my opinion.

 

Bri (06:19):
It's not. It looks like Travis Kelce planned this entire wedding in a stadium with Adam Sandler marrying them. I mean, I got feedback. So don't come at me, not a big Taylor Swift fan. I got feedback though from the group chat of one of our old employees who is obsessed with Taylor Swift. And she was like, "Same thing. This just ungenuine. We always thought she'd get married at her Rhode Island house, like Madison Square Garden."

 

Dr. G (06:51):
Yeah. It's like this big -

 

Bri (06:53):
Make it make sense.

 

Dr. G (06:55):
Commercialized production with raffles. Why are we raffling off and why does Avril -

 

Bri (07:02):
Who has a raffle at a wedding?

 

Dr. G (07:04):
Yeah, gets a Dior back.

 

Bri (07:05):
Maybe this is just a front so that everyone thinks they got married and then they're going to go have a small intimate ceremony somewhere else.

 

Dr. G (07:12):
Well, there is a rumor that they were already married and got married in Nashville in a small intimate ceremony, but that's fine. But then just throw a fucking party for... But also, I guess if you really need a thousand people there, that's the venue is like have it at Versailles or something.

 

Bri (07:30):
But give the people what they want and let's see her prenup. Yeah, what they want. How do we get that online? Because that's what I want to know.

 

Dr. G (07:39):
At some point, I think the trend is to release photos from inside the venue a month later. Is that what we're going to do? So we're going to move on from this story and a month from now, then we're going to see all -

 

Bri (07:53):
The photos. Travis Kelce is going to announce he's retiring. He's going to show up for more sweaters.

 

Dr. G (07:59):
Professional photos

 

Bri (08:00):
Stay at home dad now.

 

Dr. G (08:03):
Yeah. You can watch the cats.

 

Bri (08:05):
Yeah. He's about to be living his best life.

 

Dr. G (08:09):
Also, I feel like there should be some sort of bet pool on how long this lasts.

 

Bri (08:13):
Nine months.

 

Dr. G (08:15):
Oh, okay. Nine months, that's what you think?

 

Bri (08:17):
No, I really think that Travis Kelce is going to -

 

Dr. G (08:20):
Kelce.

 

Bri (08:21):
Kelce, whatever his name is, the football player, going to really have to be on his best behavior because this is his end all.

 

Dr. G (08:31):
Yeah.

 

Bri (08:32):
When your girl's worth 400,000 times more than you are, you act accordingly. Have you seen the funny memes that it's like she's worth... Their combined net worth is 1.7 and you're on your best behavior when she's the 1.697 of the combined network.

 

Dr. G (08:54):
Yeah. He's going to have to... I mean,

 

Bri (08:58):
It's probably going to last forever.

 

Dr. G (09:00):
I don't know. Based on her ability to...

 

Bri (09:03):
My man's worth a billion dollars. We're going to last forever. We just put on blinders. We just...

 

Dr. G (09:09):
Yeah, you're going to have to. I can't imagine that she's tolerable to be around, honestly.

 

Bri (09:13):
I can't either. I just feel like... I don't know. She seems very controlling.

 

Dr. G (09:19):
Yeah. And not very sincere.

 

Bri (09:22):
Yeah.

 

Dr. G (09:22):
But whatever.

 

Bri (09:23):
Don't know anything about the private life, but that's my guess.

 

Dr. G (09:27):
Well, I'm happy for Avril Levine and her.

 

Bri (09:30):
I can't believe I didn't get a bag.

 

Dr. G (09:33):
My sister did send me a text. I put it in our group chat of the sister of one of the football players.

 

Bri (09:41):
Caught the bouquet.

 

Dr. G (09:42):
But the bouquet looks like some ratty, 10 wilted flowers situation. It's really wild. But then it says part of the bouquet. So I'm like, "What does that mean? Did you split the bouquet into 50 pieces and throw it away?" You're all excited to see what her bouquet looked like. I kind of want to see her dress, which is

 

Bri (10:04):
No one's seen it?

 

Dr. G (10:05):
Yeah. J.W. Anderson for Dior. So I kind of want to see that. That'll be a big release. But again, just back to dresses, some of the outfits that showed up, I was like, "What? It's crazy." It was all over the map. People were dressed in gold.

 

Bri (10:19):
What did Adam Sandler wear?

 

Dr. G (10:21):
I don't know.

 

Bri (10:22):
I'm imagining in a kilt. I don't know why.

 

Dr. G (10:24):
Machine Gun Kelly showed up in black shorts, like long black shorts and a black thing. I don't know. Why is Machine Gun Kelly there? Is it canceled?

 

Bri (10:35):
Do we have a picture of Adam Sandler?

 

Dr. G (10:36):
No, we don't have one of him yet.

 

Bri (10:37):
Nothing. Oh, is that the bouquet right there?

 

Dr. G (10:40):
Yeah. It just looks like some wilted nonsense.

 

Bri (10:43):
Some Trader Joe's. Well, I don't know. This is just so -

 

Dr. G (10:49):
Do we have everything we need? We have everything we need? Oh, the bouquet. All right. Somebody go run down the street to Trader Joe's. There's Machine Gun Kelly. They cut off his photos so that you can't really see that he's wearing shorts, but I guess he's wearing shorts, which is stupid.

 

Bri (11:03):
That's fair.

 

Dr. G (11:04):
I mean, some people had really nice outfits, but Selena Gomez looked good.

 

Bri (11:09):
Was it black tie?

 

Dr. G (11:11):
It was black tie. It was supposedly floral or... Oh, that was the thing that the Blake Lively spoof was like "Floral themed?" She's losing her mind. I can't.

 

Bri (11:27):
That'd be so good.

 

Dr. G (11:29):
Anyway, to offset the negative press related to how much this had to have cost, which has to be around $20 million is the estimate at least. They donated $26 million to charities in the New York City area on that day.

 

Bri (11:46):
Wow.

 

Dr. G (11:46):
They should have spent more on the bouquet.

 

(11:49):
I know. Just saying.

 

Bri (11:51):
No, that's awesome. Good for them.

 

Dr. G (11:53):
All right, moving on. We don't have a lot of celebrity news to talk about because most of it was eclipsed by this wedding if you're on TikTok or whatever or Love Island, which I don't really feel like we need to get into because neither of us are watching it.

 

Bri (12:06):
Not really.

 

Dr. G (12:07):
But speaking of Love Is Blind, Sparkle Megan revealed the horrifying real reason she removed her implants before she got on Love Island. I'm not sure what the horrifying -

 

Bri (12:17):
You removed them and then went on Love Island?

 

Dr. G (12:19):
Oh, I'm sorry. Not Love Island. Love Is Blind.

 

Bri (12:22):
Love is Blind.

 

Dr. G (12:23):
Different.

 

Bri (12:24):
She's like, "I have to really see if they're going to love me. "

 

Dr. G (12:27):
She said she got implants when she was a junior. She was at Arizona State or wherever she went to college and then she decided to get them removed. Okay. She looks cute, honestly, in those photos. She looks good without them.

 

Bri (12:44):
Yeah. I can't really see very well, but...

 

Dr. G (12:46):
I mean, she just looks nice and natural. I feel like that's -

 

Bri (12:50):
Go ahead, girlfriend.

 

Dr. G (12:51):
I mean, unless they were killing you. I don't know. Yeah. Maybe people are just tired of them or they don't want to have to redo it later or they're planning to have kids thinking hashed all this out before. But let's say you are going to get a breast dog. How should you prep for surgery? Let's go break it down week by week. Okay. Day of surgery, you're going to come in. You're going to have an IV placed. I'm going to do some markings. I'm going to take you back. The whole surgery I think is allotted an hour and a half because we want to make sure we can put you to sleep, wake you up, you go to recovery. And then our anesthesiologist is great. You're going to have an LMA, which for those not in the know is a form of general anesthesia where the tube doesn't go through your vocal cords.

 

(13:41):
It just kind of sits on top of your throat. So it's a little faster recovery from that aspect. He tends to use minimal narcotics. I'm starting to do formal nerve blocks, although I usually do rib blocks anyway, but a formal nerve block with the ultrasound because it can, when I'm in a dual plane, partially under the muscle, once we're lifted up, we can see where the nerve is and inject local anesthesia there. But if we're going above the muscle, I'm not getting that exposure. So with the ultrasound, I can kind of see where we need to be, put some local anesthetic in there. So that being said, you wake up pretty... I mean, people wake up pretty good in our PACU, right? Chit chatting with the nurses, living their best life.

 

Bri (14:25):
They're ready to go. I'm like, simmer down. Simmer down.

 

Dr. G (14:28):
I know. Also, because that local is still kicked in, you're feeling no pain and you feel pretty good. Definitely.Have people done stupid stuff in that first few hours after having your breast dog because he feels so good? Sure. Gone out to dinner. That's crazy. I had somebody a long time ago go back to work the same day, which is something I would do, but I didn't even do that. So I feel like you should just go home and take a nap.

 

Bri (14:58):
Yeah, absolutely. If you have anesthesia in your system, you probably shouldn't go back to work that day. Right.

 

Dr. G (15:05):
People be crazy. So don't go back to work, go home, take a nap, watch Love Island or something. And then something that you don't need to commit actual brain power to. And then you're going to want to ice, take your pain medications because I'm going to see you the next day. Most surgeons will probably see you the next day. You cannot drive to that appointment because again, you just had anesthesia and you might be sore and the local anesthetic's probably worn off by now. So you need to...

 

Bri (15:41):
Take it easy. You should take it easy regardless because even if you feel so good, you still don't increase your risk for a hematoma or something because you're moving and out doing a whole bunch of things. Correct. Just relax. You have surgery, relax. I know.

 

Dr. G (15:58):
It's your excuse to relax for reals.

 

Bri (16:00):
Now it's not your time to be productive. And I feel like the more subfascial ogs that you're doing, people just roll in here looking like a million bucks. You know what I mean?

 

Dr. G (16:11):
Yeah.

 

Bri (16:12):
Still just take it easy.

 

Dr. G (16:13):
Yeah. You can still bleed. You can still have issues. I did have somebody that like, because we talked about doing non-narcotic recovery, which I-

 

Bri (16:24):
I don't see why.

 

Dr. G (16:27):
I think is yes, that's exactly it. If I say we offer a non-narcotic breast daug recovery pathway and you make that face.

 

Bri (16:35):
I'm out.

 

Dr. G (16:36):
Then we're not going to try that with you. If I say that or you ask me about it, we definitely have options. But as per usual, you need to be motivated. So I had somebody recently... Well, the rep for genavix came in and was telling us that someone else in town does a non-narcotic breast aug. Doesn't give anybody any oxycodone or Percocet or anything after breast aug. He's doing dual plane, he's doing subfascial, whatever. Maybe he's just doing subglandular. Doesn't matter. He uses Jounavx, which is a new non-narcotic pain medication. You take it before surgery and then after it's a sodium channel blocker, goes down a different pathway than Tylenol or any NSAIDs like Mobic or Celebrex or Advil or Aleve or any of those and is a great adjunct and we have people take it.

 

(17:26):
So I was like, wow, I don't know. I mean, I definitely have noticed in our labioplasty patients, they need less narcotics when they take the Journavx as a loading dose, but

 

Bri (17:36):
They still need some.

 

Dr. G (17:38):
And you also don't want to find out after the local wears off that you need it because you're already behind. So I tell my labioplasty patients, I probably need to stop prescribing 10. I can probably prescribe six or four, but take one oxy when you get home. And then that way when the local wears off, you're not like nothing on board. And then you take your Jounavx and then you can take Tylenol or Motrin or whatever. So for augs, I also prescribe they take Tylenol and Trenavix the morning of, and then they take Mobic the night before. And then when they wake up, we see how they're doing. And one of my patients, the pharmacies are so wack around here. So didn't fill her oxy for no reason. She just didn't get it. So she came in post-op day one and when I text everybody in the evening, see how it's going.

 

(18:30):
She was doing great, feeling no pain. And then she's like, yeah, around 2:00 AM I was like, ugh, this hurts. And you can take Tylenol. You've already taken your dose of Jounavx. So I was like, well, did you not take an oxy? And she's like, yeah, I didn't get... The pharmacy never filled the prescription. So I went back checked electronic medical record. Nope, it's in there. I don't know why they didn't give it to you. So send her husband out to go get it and then get back on board. So it's nice to have just in case. I mean -

 

Bri (19:02):
I feel like it's no science behind this. It's the people that don't want to take the oxy that are just like, oh, this sucks. You know what I mean? If you go and you're like, oh, I have a really high pain tolerance. I'm fine. Those are always the people that don't. You know what I mean? Yeah.

 

Dr. G (19:19):
They don't have a pain.

 

Bri (19:20):
It's the people that are okay with taking meds that they need if they need it that usually are like, oh, I didn't need to take any oxy and I feel great. I feel it's just like reverse psychology.

 

Dr. G (19:29):
Right. Yeah. You have it here

 

Bri (19:32):
Yeah. It's like ward away the evil spirits. Keep a clove of garlic for the vampires. That's what it is, right?

 

Dr. G (19:40):
Yeah.

 

Bri (19:41):
Yeah. See?

 

Dr. G (19:43):
You not want to wake up at two in the morning when everything now is worn off and be in pain because that raises your heart rate and blood pressure, increases your risk for bleeding. You know what I mean? You just don't need it. So first 48 hours I think are probably the toughest because you ride that wave of like, this is easy. And then I see you post-op day one and either the pain is kicked in that night or maybe the next night and you're at peak swelling day two, day three. Day two is often worse than day one because now it's setting in that you had surgery. There's some inflammatory responses and you're like ready to turn that corner, but your body is just catching up.

 

Bri (20:25):
It's like when you go to the gym and you're not sore the next day, but you're sore on day two and you're like, oh shit.

 

Dr. G (20:31):
Currently me right now. Yes. I'm just feeling the pain of Sunday. And it's probably going to be worse tomorrow. And I'm like, oof.

 

Bri (20:43):
Yeah.

 

Dr. G (20:44):
Okay. Yeah. It is that delayed kind of kick in the ass. I do see you post-op day one, make sure the bra fits, make sure everything looks okay, that there's not some weird swelling. People are always super concerned. One side's more swollen than the other. It's expected. You're in ice, you lean up to one side or lay on one side a little more. You use your arms differentially because one side, you're right-handed, you're left-handed. So it's okay. They're going to settle down, but sometimes -

 

Bri (21:13):
There's always a side.

 

Dr. G (21:14):
Yeah.

 

Bri (21:14):
I think that is the most common thing is they're like, "Oh, this side hurts so much more." There's always a side. Always.

 

Dr. G (21:21):
Yeah.

 

Bri (21:22):
Just inevitable. One side hurts so much more than the other.

 

Dr. G (21:25):
And I think it's going back to the workout thing. A lot of times that's true too. You did eight million squats, but your right butt is the one that's... Or your right quad is really hurting. So I think that's important. I think being careful. We talk about getting out of bed slowly. I mean, you're still recovering from anesthesia. You still are taking medications so don't bolt upright. I remember doing that after one of my C-sections. I didn't even appreciate that's how I wake up. I just get up.That's how I get up. And after one of my kids, I remember just doing that one morning without thinking about it and thinking, "Oh my God." I just felt like everything. I was like, "Did I just tear everything open with that move?"

 

Bri (22:14):
Terrible. Absolutely terrible.

 

Dr. G (22:17):
So wake up, take a minute to orient yourself and then get up. Try not to do one of these if that's how you normally get up.

 

Bri (22:25):
You'll feel it. Especially if it's under the muscle, you'll not want to do that.

 

Dr. G (22:28):
Yeah. No, try not to do any pushing with your chest. And then again, it's the things that you don't think about in your day to day. It's the slamming the car door. It's opening a heavy door. It's slamming the fridge or whatever it is. Holding laundry baskets, those sorts of things, just take it slow and not overdo it. Most people are in our compression bra. It's not like a super tight bra. It's just a nice post-op surgical bra. It helps -

 

Bri (23:01):
Hold it together.

 

Dr. G (23:02):
Yeah. And I think a lot of people find that as a reassuring feeling for the first few weeks, honestly. And you're not going to be able to go buy new bras anyway because you need to wait until all the swelling goes down. I tell people to wait six weeks for that. You want to go invest in brand new pretty bras at four weeks and then find out at six weeks that you needed a slightly different size or style. There's too much variability in bras to waste money on that. So what do you think somebody needs the first couple of days around the house or should they have handy?

 

Bri (23:37):
Housekeeper, husband. I think just the first day having someone to help you out. I mean, we tell you to have somebody to help you out and stay with you overnight anyways. But honestly, there's really nothing you need besides making sure you have somebody to come in, give you your medications or set an alarm and take them yourself if you, so be it. Help with things around the house. If you have children, have somebody help you with children, have somebody cook or DoorDash. I think just honestly, having help the first day is the most important thing.

 

Dr. G (24:12):
That person can drive you to your appointment.

 

Bri (24:14):
Yeah.

 

Dr. G (24:15):
If you have dogs or pets that need help.

 

Bri (24:17):
Yeah. Have somebody come walk them. Just being able to do nothing is going to be the best thing for you.

 

Dr. G (24:25):
Right. Okay. So people talk about nerve pain, zingers, electrical pain, and that can come at your breasts towards a nipple, generally speaking. If you think about it, no matter what surgery we do, we're stretching things out that pisses nerves off. We've blocked the nerves with - Cutting through things. Yes. So the things that come back first, I always tell patients when an area is numb or has been stretched into numbness sharp shooting pains and itching. And that's just how nerves reintegrate. Those are the sensations that come back first. And oftentimes it's one or the other and everyone's different. So some people get intensely itchy. Some people get the nerve zingers. That's probably more common with breast surgery. Can be one side, both sides. That's normal. It's okay. It's nothing to be worried about. It's just the nerve -

 

Bri (25:20):
It's a good sign.

 

Dr. G (25:21):
Nerve endings coming back. Sometimes people are hyposensitive or numb. They don't feel anything. And that generally comes back over three to six months. And maybe the first sign is that zinger.That's like the nerves kind of, is anybody out there?

 

Bri (25:41):
Hello.

 

Dr. G (25:43):
And then over, I mean, maybe it's the way I do the surgery or in modifies and techniques, especially with breast reduction. People tend to not be numb but hypersensitive, which I'm like, well, great, you can feel everything. People don't like to be numb. I know it's a win, but patients find that super annoying. And so hypersensitivity where things are just extra sensitive can be equally annoying. And so you can do ice. I tell people if it's really bothersome, again, by stimulating the nerve almost into submission, it will make it better. So if your nipples are really sensitive, then just touch your nipples and try to get them used to like, "Hey, me putting my bra on isn't a cause for alarm. So get used to it. " So that's one way of dealing with it. But those things are all, again, normal process of healing.

 

(26:38):
It's just you're so concerned on whether you're going to do the 310 SRM or the 330 SRM that you aren't listening to any of that stuff that we're talking about beforehand.

 

Bri (26:51):
Right. People just like tunnel vision in one thing and then they forget about everything else.

 

Dr. G (26:56):
Yeah. The thing that helps, I think, with nerve pain in the first couple of weeks is just basic compression.

 

Bri (27:04):
There's not really a lot you can do. Just know it's a part of the healing process.

 

Dr. G (27:09):
Right. Ride the wave.

 

Bri (27:10):
Yeah. Ride the wave. You're having a surgery.

 

Dr. G (27:15):
What do you think patients wish someone had told them before day one, even though we probably did tell them?

 

Bri (27:20):
We tell you everything. So I don't

 

Dr. G (27:24):
Wish that they had listened to. Yeah.

 

Bri (27:26):
Let me refer to all the post-op instructions that we gave you, sent you, emailed you, went over with you.

 

Dr. G (27:32):
Tattooed on your arm.

 

Bri (27:33):
Yes. So I think as far as breast augs, there aren't a lot of things that we don't go over. I feel like it's more common with other things like lipo, like, "Oh, I didn't know it was going to hurt this bad." I think it's more common with that. Breast augs, I don't know. I feel like patients are pretty well informed and we do a pretty good job of letting you know what it's going to be like after and what to expect. I think the only time that I really hear like, "Oh man," is patients that have super giant implants, like 700, 800s in there. And they're like, "I feel like it hurts so bad." Of course it does. You have two small children on your chest. You know what I mean? I just didn't know it was going to hurt this bad. I was like, "Yeah."

 

Dr. G (28:19):
Yes.

 

Bri (28:20):
So I think that's pretty much the only time, honestly, that people with just a breast dog have been like, "Oh, I didn't expect this. "

 

Dr. G (28:29):
I do think that.

 

Bri (28:30):
Yeah. And that's generally in the younger patient population that think they have a really high pain tolerance and then they go get these massive implants put under the muscle and they're like, "Oh, the pain, the pressure. I can't do it. "

 

Dr. G (28:47):
Yeah. You asked for the absolute largest implant size.

 

Bri (28:50):
Yeah. On market. Other than that, I feel like I don't really hear anything as far as patients not really -

 

Dr. G (28:59):
And with our Preserve patients, they're also just so that's a minimally invasive, non-cutting really breast augmentation. They're doing really well. And also, so I think size of implant matters. I know we're both thinking of the same person who had 770 cc implants put in and then was like, "It hurts." And I'm

 

Bri (29:23):
Really shocked how much it hurts.

 

Dr. G (29:25):
I was like, "It hurt me to put them in there." But on the flip side, I just saw somebody back who had 160 cc breast implants and it is so natural, looks so good. And she feels great, obviously. Also under the muscle and she's doing great because it's a tiny little implant and it just kind of enhanced what she had. And I think the trend towards smaller implants does lend itself no matter where you put it to a faster recovery. Yeah.

 

Bri (29:55):
Smaller implants above the muscle is really, really starting to take like an up. I know before we did most of them under the muscle, but now I feel like over the muscle people just mosey on in here looking like they just had a blow out in a full glam squad and we roll in there looking homeless. I know, right. So glad you feel good.

 

Dr. G (30:18):
We had a long day.

 

Bri (30:20):
Someone give me a propofol dart and let me have a good nap.

 

Dr. G (30:25):
Propofol dart. Yeah, last week was a little rough to be honest. And not because - Yeah,

 

Bri (30:29):
The next four weeks are a little rough.

 

Dr. G (30:31):
I know. We're very busy and we crammed in an extra case for one of the local surgeons and that really just, he needed to take somebody back to the OR and it was a long ass day.

 

Bri (30:45):
Yeah.

 

Dr. G (30:47):
Anyway. Okay. Let's talk about when you should call the office and not get on Reddit and say, does this look normal?

 

Bri (30:56):
You got a fever?

 

Dr. G (30:58):
Yes. A fever, definitely call. There are lots of normal reasons you might have a fever in the first couple of days, but not like five to seven days you should not be getting a fever unless you have a new problem like strep throat. But yeah, the first day, sometimes people will run a low grade temp. I'm not usually worried about that. It's a little bit of collapsing of the lungs from anesthesia. You're not taking deep breaths. So it's important that when you're awake, you're taking, I would say 10 deep breaths an hour, breathe in and out. And then it's nice to have people help you, but get up and go get a glass of water every once in a while because when you walk across the room, you're also taking more deep breaths than you would if you're just laying in the couch watching TV.

 

(31:43):
But if you have a fever, that's anything over 101 and it's several days out of surgery, give us a call. If you notice redness at your incision, that's also a cause for concern. It's usually again, not infection. A lot of times it's like a reaction to the Steri-Strips or the tape or the prep or whatever, but it's still better to be safe than sorry. And then acute increase in size in one breast over the other is probably the most important thing. Sometimes people, if they were to have a bleed, their breast will -

 

Bri (32:18):
I had one.

 

Dr. G (32:19):
Their breast will get large and look bruised, right?

 

Bri (32:24):
Yeah. I'm about to show you my pictures. The surgeon I went for was actually a surgeon I worked for. And my one boob was twice, I'm kid you not, twice the size of my other one. It was dripping blood. It was purple. I mean there was no... And he's like, "No, you're fine, you're fine." For the longest time refused to. And then my coworker, I just sent pictures and she's like, "Oh my God, you need to come in right now." And I had like a giant hematoma, but he just refused to accept the fact that it happened. It hurt so bad. It was literally huge.

 

Dr. G (33:04):
Because you can imagine, you already have a tight space. We put an implant in there and now there's bleeding and the bleeding just, there's nowhere to go and it starts putting pressure on the breast. And some people, like I said, I've seen it where their breast is much larger than the other side, but there is no bruising, which is wild because you're like, "What is that then? Is that just fluid?" Every time it's a hematoma, honestly.

 

Bri (33:31):
Yeah. There's like no...

 

Dr. G (33:33):
Same surgeon I took back somebody, one of his patients. Do you remember that girl because he was out of town and she was a scrub tech so maybe it's a scrub tech problem from somewhere else from out of town. And she had one breast that was larger and I was like, "Yeah, we're going to have to take you back. I'll just take you back and wash it out. " And her breasts looked totally normal. It was not normal. I guess there was no discoloration. It was just larger and firm and there was a ton of blood in there and needed to go back.

 

Bri (34:06):
I saw three ABD pads and I was like, "Come on. "

 

Dr. G (34:09):
Yeah. Brutal.

 

Bri (34:10):
I guess I can find a picture.

 

Dr. G (34:12):
So that can happen. Sometimes it's a smaller amount of swelling. So I had somebody recently, my own patient like that, and I watched her very closely because she was about to go out of town for the weekend. And then by the time she came back from out of town taking it really easy, she was fine. So I was like, "Okay, no big deal." Because I'm always in fear of that person who has the fluid collection that doesn't bruise, that doesn't show anything. But you have the other side to compare to and they are going to heal differently, but one side, if it's triple the size of the other side, that's a concern. You need to get it addressed. And yeah, sometimes the surgeon is in some denial.

 

Bri (34:54):
Even this one, this was like days after and it got so much bigger.

 

Dr. G (35:00):
Yeah. When one breast is much larger, that's a problem.

 

Bri (35:04):
Yeah. And dripping blood days after -

 

Dr. G (35:07):
Often it's not dripping blood if it's just a straight augmentation, but yes, that's part of the problem. Okay. So most people read that you're back to normal at three weeks. I think everyone's different, right? So again, we have the patient that rolls in post-op day one in her white outfit who will be fine. And people who are at three weeks and still struggling, it's okay. Just everyone heals at a different rate. So I think that's important. I think you should not do any chest stuff for six weeks. Just leave it alone.

 

Bri (35:38):
Don't do it.

 

Dr. G (35:40):
There's no reason. I felt great at four weeks and I remember asking my surgeon like, "So can I go back to yoga?" And they were like, "Really? Why? Two more weeks. It's fine." You're one of those. Yeah. So yes. So I waited the two weeks and then I was...

 

Bri (35:55):
Don't do Pilates. I think it is good, the people that start, even though you want to do nothing, the people that start walking and doing things, like my first day, I always walk a mile. I walked a mile every day. Every surgery I've had. Unless you're having a labiaplasty, don't do that. Don't walk a mile. But the more you're walking and doing things and still being cognizant of I had surgery. I feel like the people that do things heal so much better and the people that are immobile and I can't get up, I can't move, they just take so much longer.

 

Dr. G (36:25):
Yeah, because you're going to get stiff. I tell people, you can move your arms normally. You can brush your hair and stuff, brush your teeth. Just don't start rearranging the bookshelves. Be smart about it. But you also don't want to walk around like this because you'll get stiff shoulders, neck, you'll have new problems. So just go for a stroll and it's perfect. It would be one of the positives of having surgery during the summer is that it's still light out at 8:30 and you can go for that stroll. You're not like, "Oh, it's dark. It's 4:30. I'm just going to watch one more episode."

 

Bri (37:02):
i know. Of Love Island or

 

Dr. G (37:04):
Whatever. Really bashing on Love Island. It literally was on all day on the fourth in my house.

 

Bri (37:09):
Really? I watched the entire season yesterday of Elle.

 

Dr. G (37:14):
Oh, that was almost on the entire season. Was it terrible? Was it terrible?

 

Bri (37:19):
It was cute. It was cute.

 

Dr. G (37:20):
Okay.

 

Bri (37:21):
Juju would like it.

 

Dr. G (37:22):
Right. They were threatening to put it on. On the 4th of July, I had a ton of college kids in and out of my house taking breaks from the beach, partying, watching Love Island, screaming at the TV.

 

Bri (37:35):
Yeah. My yesterday was, it was a good hangover show. I just binged out and did nothing.

 

Dr. G (37:41):
That's good. So I think if you're spiraling at 2:00 AM worried about something, don't get on TikTok. That would be my advice or Reddit.

 

Bri (37:52):
I've heard so many... Everyone gets everything from TikTok.

 

Dr. G (37:55):
It's a new search.

 

Bri (37:57):
Just stop.

 

Dr. G (37:58):
I know.

 

Bri (37:59):
Don't do it.

 

Dr. G (37:59):
I think we talked about this with Dr. Killeen. You're getting one person's perspective and as she aptly pointed out the type of person that had their surgery a year ago but is still on those threads sharing information and telling you how you should feel after surgery. Wild psychological gain is happening there. What is motivating you? Most people after they've had their surgery are moving on with their life. They're not on some forum to tell people how they should feel after surgery. What's your gain? It's weird.

 

Bri (38:33):
Have no idea.

 

Dr. G (38:34):
So maybe those aren't the best. If somebody else is on TikTok - Talk to a doctor. That's like two days post-op, sure. I can see that. But yeah. Yeah.

 

Bri (38:45):
Just send your doctor a text.

 

Dr. G (38:47):
Yeah. Ideally not at 2:00 AM, but that's fine.

 

Bri (38:50):
But if you need to.

 

Dr. G (38:52):
Yes, then do it.

 

Bri (38:53):
Because every time I Google my symptoms, I'm dying. I've got like two weeks left to live per Google. So just...

 

Dr. G (39:02):
Yeah. All right. Well, should we do our rapid fire?

 

Bri (39:04):
Okay.

 

Dr. G (39:06):
Fact or fiction?

 

Bri (39:07):
All right. Myth versus reality. If it's not painful, something's wrong. Wait, I have to think about that one for a second.

 

Dr. G (39:15):
Wait, what?

 

Bri (39:16):
If it's not pain... Oh, wait. Okay. So if we're not in pain, nothing's wrong.

 

Dr. G (39:21):
If we're not in pain, you're fine.

 

Bri (39:23):
You don't have to be in pain.

 

Dr. G (39:24):
Yeah, that's a myth.

 

Bri (39:26):
You should push through and get back to the gym within a week. Get your Pilates on day one, post breast aug.

 

Dr. G (39:34):
Absolutely not.

 

Bri (39:37):
Nerve zaps mean nerve damage.

 

Dr. G (39:39):
No. Nerve zaps means nerves are bringing it back.

 

Bri (39:43):
Everyone recovers on the exact same timeline.

 

Dr. G (39:46):
Absolutely. And if you're not on that timeline, there's something wrong with you. No.

 

Bri (39:50):
You're screwed. Just take them out. A couple of ibuprofen is all you need.

 

Dr. G (39:58):
Oh my God, no.

 

Bri (39:59):
Don't ibuprofen it. We are not ibuprofen lovers.

 

Dr. G (40:03):
No, because it increases your risk for bleeding. And if you don't believe me, believe me. I feel like one of the last times Danielle did Botox, I was suffering from some hamstring or hip or whatever bullshit I'm usually suffering from. And the only thing that makes me stop taking ibuprofen, to be honest, is my stomach finally hurting, like burning a hole in my stomach. Anyway, so I'm a huge fan of Advil, Aleve, just those 800 milligram Motrins. It was in the military. That's what they hand out like canning. Anyway, she goes to do a little Botox in case you don't believe that it causes increased bruising and bleeding. And she's like, "Oh, and big bruise." And I'm like, "Why?" And then I'm thinking, "I literally just had Motrin an hour ago and I've been taking it continuously for days. I might as well just be chewing it as she's injecting me. And yes, it makes a difference. And a glass of wine the night before."

 

Bri (41:06):
And a bottle. Let's be real.

 

Dr. G (41:07):
Yeah. And half a bottle of wine.

 

Bri (41:09):
When was the last time you've had one glass of wine? No comment.

 

Dr. G (41:15):
Yeah. Only if it's to chase another drink. Cocktail and then one glass of wine. That's a reasonable -

 

Bri (41:22):
That's fair. That's fair.

 

Dr. G (41:24):
Okay. So anyway. Yeah.

 

Bri (41:26):
I can't even think about the last time.

 

Dr. G (41:27):
We're not huge fans of ibuprofen because it definitely makes you bruise. But we have some alternatives, so take those. Was that our last?

 

Bri (41:34):
We prescribe you Mobic.

 

Dr. G (41:36):
I know. Take that

 

Bri (41:37):
If you need.

 

Dr. G (41:38):
I like Celebrex better, but insurance usually kicks that back. So got to do what you can do. So if you're listening today and have questions about your breast augmentation recovery, reach out. Check out our website. We usually have pretty good resources for things like that.

 

Bri (41:57):
If anyone has pictures from Taylor Swift's wedding, please send. Yeah. Or knows what their prenup is.

 

Dr. G (42:05):
Yeah. I know the prenup. Somebody made some money off of that, making that tight.

 

Bri (42:11):
We want to know.

 

Dr. G (42:12):
All right.

 

Bri (42:13):
Well, we'll scrub in.

 

Dr. G (42:14):
And scrub out.

 

Bri (42:16):
Bye.

 

Dr. G (42:17):
Peace out Girl Scout.

 

(42:20):
If you're listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us, go to restoresdplasticsurgery.com or follow us on Instagram @RestoreSDPlasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B's on YouTube, Apple Podcasts, Spotify, or wherever you like to listen to podcasts.