Dr. Harness explains how painful a double mastectomy is for the patients.
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Total mastectomy especially with immediate reconstruction may require a hospitalization over a couple of days. Without the immediately reconstruction it depends on the threshold of pain of the patient. But typically patients like that will stay on the hospital, a good 24 hours and no one should hesitate with the double mastectomy and they have a second and a third 24 hours—is incredibly variable from patient to patient, using local anesthetic is important at the time of the double mastectomy to help minimize that pain postoperatively.

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