I you are going to use the cabbage leaves, out them in the freeze and apply for the whole day. Do not take them off and change them. I made the mistake with my first daughter by changing them every 45 minutes and I became so ingorged that I almost got an infection. Leave them on for 24-48 hrs without removing them. I will tell you another thing that works... take an ace bandage and wrap as tight as possible. Put a smaller sports bra on over top and leave like that for 48hrs. After 48hrs you will be fine. Good luck!