After surgery for DCIS

Depending on the surgery you’ve had, you will be in hospital for 1–5 days. After your operation, the nurses will encourage you to start moving around as soon as you can. Your nurse will give you advice about your wound dressings and any drains you may have in.

Your nurse will give you painkillers to manage any pain, and advice and exercises for shoulder or arm stiffness. You may notice some numbness and tingling in your arm. This should improve over time but is sometimes permanent.

At first, the area of the surgery will be swollen and bruised. You will have a scar, but this should fade over time. Having a changed appearance might affect your confidence and body image. Your nurse can support you with this. Some women find that having breast reconstruction helps them feel more confident after surgery. If you don’t have an immediate breast reconstruction, you will be given a soft, lightweight false breast (prosthesis).

Time in hospital

Most women who have breast cancer surgery can go home the same day or the following day. But, if you have breast reconstruction at the same time as a mastectomy, you may be in hospital for longer (1–5 days). This will depend on the type of reconstruction operation you have.


After the operation

You will be encouraged to start moving around as soon as possible after your operation. This can help reduce the risk of complications.


Your wound

You’ll have a dressing covering your wound, which may be left undisturbed for the first few days. The nurses will let you know how to look after it before you go home.

How long it takes to heal depends on the operation you had. If you only had a small area of tissue removed, your wound will usually heal quickly. If you don’t have stitches that dissolve, you will probably have your stitches removed about 7–10 days after your operation.

Wound infection

This can be a complication of surgery. Signs of infection can include warmth, redness, swelling around the wound or discharge coming from it. You may also feel unwell with a fever. Tell your nurse or doctor if you get any of these symptoms, even after you go home.


Drains

You may have a long, thin plastic drainage tube attached to a bottle that fluid from the wound drains into. It is usually left in until it stops draining, which may take a few days. You can go home with the drain. A practice nurse or a district nurse may check it when you’re at home. Or you might have it checked and removed at the hospital.


Fluid collecting around the wound (seroma)

Fluid can build up in the area around the wound. This is called a seroma. It usually goes away within a few weeks. Sometimes your nurse or doctor may need to drain it off with a needle and syringe.


Pain

You’ll probably have some pain around the wound and in your armpit if you had lymph nodes removed. This may last a few days. The nurses will give you painkillers to take regularly until it settles down. After a mastectomy, you may need to take them for a week or two. Let your doctor or nurse know if the painkillers aren’t helping. They can prescribe stronger ones for you to try.


Stiff shoulder or arm

After a mastectomy or having lymph nodes removed, your shoulder or arm may feel sore or stiff. It’s important to do the arm exercises that your physiotherapist or nurse shows you. This will help improve the movement in your shoulder and arm, and reduce the risk of long-term problems. You should start the exercises the day after your operation and gradually build up what you can do.

Breast Cancer Care can send you a leaflet that shows the exercises you can do.


Numbness and tingling in the upper arm

You may have this if nerves in your breast and armpit are injured during the operation. This is more likely if you had all the lymph nodes removed. It may slowly improve over several months but is sometimes permanent.


How your breast looks

It is common to have swelling and bruising after your operation. It should improve after a few weeks, but let your breast care nurse know if it doesn’t. Wearing a crop top or sports bra might feel more comfortable until the swelling settles. If you had an SLNB you may see the blue dye in the skin for a while, but this is normal.

Scars

After a WLE the scar is usually small and in the area where the cancer was, depending on where the surgeon makes the cut (incision). A mastectomy scar is across the skin of the chest and into the armpit. After surgery to the lymph nodes, the scar is in the armpit and shouldn't be noticeable from the front.

To begin with, your scar will be red if you have white skin, or darker if you have dark skin. It will also be firm and slightly raised. Over time, it will flatten and fade. Everyone’s skin heals differently. If you have dark skin or fair, freckled skin, scars can take longer to settle and may be more noticeable for longer.

If you are worried about your scar, talk to your breast care nurse or surgeon. We have more information about scarring after breast reconstruction.


Coping with a changed appearance

The first time you look at your breast or chest area after your operation, you may prefer to be alone or have someone with you.

At first, the area will look swollen and bruised, but this will settle in the next few weeks. In time, the scar becomes less obvious. Changes to your appearance can affect your confidence and feelings about yourself as a woman. They can also affect your sex life.

We have more information about body image and cancer that you might find helpful.

Some women find that breast reconstruction helps give them back their confidence and feelings of femininity.


Breast prosthesis

If you have a mastectomy and don’t have immediate breast reconstruction, your nurse will give you a soft, lightweight prosthesis (false breast) to wear inside your bra. It’s often called a ‘cumfie’ or ‘softie’. You can start wearing it straight after your operation.

When your wound has healed, you can choose a permanent prosthesis. This will closely match the size and shape of your other breast. It’s made of soft plastic (silicone) and matches your skin colour. Your confidence will gradually improve as you get used to it. You can get different types of prosthesis from the NHS and Breast Cancer Care who can give you a list of suppliers.


Back to Surgery explained

Types of surgery for DCIS

Surgery is the main treatment for DCIS. Some women are offered a choice of different operations.

What happens before surgery?

You will have some tests and a chance to talk about any concerns you have before your surgery.

Follow-up care after surgery for DCIS

At your outpatient appointment your doctor will discuss your pathology results with you and discuss further treatment.