After your operation
The first two weeks after breast cancer surgery: a day-by-day guide
Sorer than you expect for two or three days, then steadily better. Most women manage at home within a week after a lumpectomy and within two after a mastectomy. Tiredness lasts longer than pain, and almost nobody is warned about that. This page walks through the fortnight, day by day.
The short answer
What do the first two weeks actually feel like?
Sorer than you expect for two or three days, then steadily better. Most women are managing at home within a week after a lumpectomy, and within two after a mastectomy. Tiredness lasts longer than pain, and almost nobody is warned about that.
What most people find hardest
Not the wound. It is the tiredness, the awkwardness of sleeping, and not being able to reach or lift. An anaesthetic and an operation take more out of you than the size of the scar suggests.
What to do from day one
The shoulder exercises you were given, gently and regularly. Stiffness that is left alone becomes much harder to reverse. Walking daily helps your chest, your circulation and your mood.
Day by day
How the two weeks usually go
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The first day
Groggy, sore and often thirsty. Ask for pain relief before it builds rather than after. You will be helped up, and getting moving early genuinely reduces chest and clot problems.
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Days two and three
Usually the sorest, and the point most women go home. The bruising can look alarming and spreads downwards with gravity. Start the shoulder exercises even though you will not feel like it.
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The first week
Pain settles into soreness and tightness. Sleeping propped on pillows is easier for most. If you went home with a drain, you will be recording its output daily.
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Around the end of week one
Drain out for many women, and the wound checked. Fluid collecting under the wound is common after the drain comes out; it is usually harmless and drained with a needle if uncomfortable.
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The second week
Noticeably better. Most women are washing and dressing themselves, walking normally, and doing light housework. Driving is still usually too soon.
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Around two weeks
The pathology result appointment, for most people. This is often harder emotionally than the operation was, so take someone with you.
Not sure whether this applies to you?
Ask an oncologistManaging at home
The things that make the difference
Small and practical, and they matter more than anything you can buy.
Stay ahead of the pain
Take the painkillers on the schedule you were given rather than waiting until it hurts. Being on top of pain is what lets you do the exercises, and the exercises are what protect your shoulder.
Do the shoulder exercises
Gently, several times a day, from the first day unless told otherwise. Stiffness sets in quickly and is much harder to undo than to prevent.
Ask for a physiotherapy referral if progress stalls.Do not lift, reach or push
No heavy bags, no pulling yourself up by your arms, nothing above shoulder height for the first couple of weeks. Ask your team for the specific limits for your operation.
Eat and drink normally
Protein and fluids help wounds heal. This is not the time for a restrictive diet. Constipation from painkillers is very common, so keep fluids up and ask for something if needed.
Keep to hand
- The ward number
- Your painkillers and a written schedule
- Front-opening tops
Contact the hospital without waiting for your appointment if you have a fever or shivering, if the wound becomes increasingly red, hot, swollen or starts leaking, if bleeding soaks through a dressing, if swelling under the wound is getting rapidly worse, or if you become suddenly breathless or develop pain and swelling in a calf. Get the ward number before you leave hospital and keep it where your family can find it.
Talk to our team
Have a question about your situation?
Call the helpline or leave your details, and someone will help you arrange a consultation at the CION centre nearest you. One helpline serves every CION centre.
Words you will hear
The vocabulary, in plain language
- Seroma
- Fluid collecting under the wound, usually after the drain comes out. Very common, generally harmless, drained with a needle if uncomfortable.
- Haematoma
- A collection of blood under the wound. Less common, and worth reporting promptly if swelling comes on quickly.
- Cording
- Tight cords felt under the skin of the inner arm, appearing in the weeks after armpit surgery. Uncomfortable, and responds well to physiotherapy.
- Phantom sensations
- Feeling as though the breast is still there, including itching or tingling. Common after a mastectomy and not a sign of anything wrong.
- Wound dehiscence
- The wound edges separating. Uncommon, and a reason to be seen the same day.
- Dissolvable sutures
- Stitches that disappear on their own. Many breast wounds use these, so nothing needs removing.
Being straight with you
What nobody warns you about
The tiredness outlasts the pain by weeks, and it catches people out because the wound looks fine. It is the anaesthetic, the operation and the stress together. Plan for it rather than treating it as a setback.
Numbness is usually permanent
A numb patch on the inner upper arm after armpit surgery, and numbness across the chest after a mastectomy, generally do not fully return. It becomes less noticeable over months. Knowing it is expected makes it far easier to live with.
Looking at the scar for the first time
Do it when you are ready, and consider having someone with you. Many women describe this as harder than the operation. Your breast care nurse will do it with you if you ask, and it is a common request rather than an unusual one.
The wait for the report is its own thing
The fortnight before the results appointment is, for most women, emotionally harder than the surgery. It is normal to feel worse in week two than week one for that reason alone, and it is not a sign that anything is wrong.
Commonly believed
What families get wrong about recovery
This is the most damaging well-meant advice after breast surgery. A shoulder that is not moved stiffens quickly and is far harder to free later. Do the exercises gently from the first day unless your team specifically said otherwise.
Soreness and tightness for a couple of weeks is normal, and staying ahead of it is what lets you keep moving. What is not normal is pain that is increasing rather than easing, or pain with fever and redness. Report that, not ordinary soreness.
Eating normally, with enough protein and fluid, is what helps a wound heal. Restrictive diets during recovery work against you. Tell your team about any herbal preparation, because some affect bleeding and clotting.
The fortnight before the pathology result is, for most women, harder than the operation itself. Feeling worse in week two than week one is common and expected. If it persists past the results, say so, because support exists.
Questions we are asked
Common questions about recovery
When can I shower?
Usually within a day or two, depending on your dressing and whether you have a drain. Your team will tell you and it varies between units. Pat the area dry rather than rubbing, and do not soak in a bath until the wound has fully healed.
When can I drive?
Not for at least a week or two, and longer after a mastectomy or armpit clearance. You must be able to do an emergency stop and turn the wheel without pain or hesitation. Check your insurance terms, as some require you to be signed fit.
When can I go back to work?
Often two to three weeks after a lumpectomy and four to six after a mastectomy, and longer with reconstruction or a physically demanding job. Ask your team for a letter, and consider returning part-time first.
Is this much bruising normal?
Usually yes. Bruising spreads downwards with gravity and can travel surprisingly far, sometimes to the abdomen. What needs reporting is swelling that is rapidly increasing, or a wound becoming hot and increasingly red.
When can I wear a normal bra again?
Usually a few weeks, and wired bras later still. Your breast care nurse will advise for your operation. A soft front-fastening bra worn day and night in the first weeks is what most units recommend.
My shoulder is very stiff. Is that expected?
Some stiffness is expected, particularly after armpit surgery, and it responds well to the exercises you were given. If it is not improving over a couple of weeks, ask for a physiotherapy referral rather than waiting for your next appointment.
When do the stitches come out?
Many breast wounds use dissolvable stitches, so nothing needs removing. If yours need taking out it is usually around the end of the first or second week. Ask before you leave hospital so the appointment is booked.
Can I exercise?
Walk daily from the start. Avoid lifting, pushing and anything above shoulder height for a couple of weeks, and build back gradually after that. Swimming waits until the wound is fully healed. Ask your team for limits specific to your operation.
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Sources
- Cancer Research UK — Recovering from breast cancer surgery
- National Cancer Institute — Surgery to treat cancer
- Breast Cancer Now — Recovering from breast surgery
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.