Postoperative Instructions: Pectoralis Major Flap

Print PDF
Clinic Name
Clinic Address
Clinic Phone Number
Clinic Email

Postoperative Instructions: Pectoralis Major Flap

Immediate Postoperative Care

  • Rest and Recovery: Encourage adequate rest during the first few days post-surgery to help the body heal. Gradually increase activity as recommended by the healthcare provider.
  • Pain Management: Pain medication will be prescribed. It is important to take these medications as directed to manage discomfort effectively. Contact the healthcare provider if pain persists or worsens despite medication.

Wound Care

  • Incision Care: Keep the surgical areas clean and dry. Instructions on how to care for the incision will be provided, which may include gentle cleansing and application of dressings if necessary.
  • Monitor for Infection: Be vigilant for signs of infection, such as increased redness, swelling, warmth, or discharge at the surgical site, or if you develop a fever. Report any of these signs to the healthcare provider immediately.
  • Drain Care: If drains are placed, you will be instructed on how to care for them, including emptying and measuring the fluid output. Drains typically remain in place until the output decreases sufficiently.

Activity Restrictions

  • Limit Physical Activity: Avoid strenuous activities and heavy lifting for a specified period, typically 4-6 weeks, to prevent stress on the surgical site and ensure proper healing.
  • Arm Movements: Movements of the arm on the side of the donor site (chest) may be restricted to avoid stretching or pulling on the incision. Specific guidelines on the range of motion will be provided.

Diet and Nutrition

  • Hydration: Stay well-hydrated by drinking plenty of fluids, which is vital for the healing process.
  • Nutritious Diet: Eat a balanced diet rich in vitamins and proteins to aid in recovery and wound healing. Dietary recommendations may be provided to optimize nutrient intake.


  • Antibiotics: If antibiotics are prescribed, complete the entire course as directed to prevent infection.
  • Other Medications: Follow specific instructions regarding any other medications prescribed, including those for pain management and to reduce the risk of complications.

Follow-Up Care

  • Appointments: Attend all scheduled follow-up appointments so that the healing process can be monitored. These visits are crucial for assessing the condition of the flap and the overall recovery.
  • Physical Therapy: If recommended, participate in physical therapy sessions to regain strength and mobility, particularly if the arm or shoulder is affected.

Long-Term Care

  • Scar Management: Once the wounds have healed, scar management techniques such as silicone sheets, gels, or massage might be recommended to improve the appearance of scars.
  • Observation of Changes: Continuously monitor the condition of both the flap and donor sites for any changes. Long-term follow-up may be necessary to evaluate the outcomes and address any late complications.

Emotional and Psychological Support

  • Support Resources: Reconstructive surgery can be emotionally challenging. Access support groups or counseling if you experience emotional or psychological distress.