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Breast Augmentation Follow Up Instructions

10-14 days after surgery

(applicable from two weeks and longer after surgery)

Bras:

You can now wear supportive bras of your choice, but a bra still must be worn 24/7. Be sure to properly size yourself, based on our teaching, before purchasing a bra in order to ensure that you have the right size and amount of support needed to maintain your breast’s position long term. You may be different sizes in different brands or stores. Underwire bras are preferred if they fit properly and do not “dig in”. There is not one brand, style or size that we recommend as everyone has different anatomy, just like there is no "best" brand/style of jeans. Look for bras that provide support throughout the band & bridge. Bras with back adjustment are preferable over front clips, as they allow for tightening of the band as it stretches. Avoid bras that do not sit within one finger of your breastbone in your cleavage, that dig in to your breasts, or ride up on to your breasts. You must balance appearance, support and comfort based on activity with priority on support. With implants, you need more side and bottom support than natural breasts.

Sports bras can be trickier to find the proper size as there are often less size options. Avoid bras like Nike and Champion that are generic small, medium, large, extra-large sizing, opting for bras that have separate band numbers (32, 34, 36, 38 etc.) and cup size letters (B, C, D etc.).  The higher the intensity workout the more support you will need. With implants, you need more side and bottom support from the sports bra as your breasts are now heavier and we don't want the implant moving with muscle contraction. We recommend a sports bra with underwire that will contain and support the weight of the implant. We find a sports bra similar to the Victoria Sport Incredible Knockout Ultramax, a padded underwire with overlying secondary zip front to provide excellent fitment and support for about 95% of our patients anatomy. Do NOT wear yoga bras, bandos, bralettes or compression bras. It is also important to avoid tight fitting sports bras that just compress or smash your breasts, as they tend to push the implants into your armpit.

We encourage you to support your breasts 24/7 forever, including at night, only going with less support intermittently for special occasions once they're fully healed after 3 months. Bikini tops are NOT enough support during the first 3 months of healing.

Please DO NOT continue to wear our surgical sports bra long term. They are designed with just enough light support for the first 2 weeks of healing only, when you weren’t doing any activity. They also have no adjustability as they stretch, so please make time for bra shopping soon after your follow-up appointment. The bras do not need to be fancy or expensive they just need to fit well and provide adequate support. You must invest the time and effort to find supportive bras now, before your breasts droop or sag, as once that happens only surgery can attempt to correct that.

Should you be confused about bra sizing/fitment send pictures in a few bra options to Jeannette, or bring 3-5 options for a quick “bra check” appointment.

Massage:

This is one of the most important pieces of having a successful breast augmentation now and in the years to come. Massage keeps your breasts soft and fine tunes your results. If you do not massage, your breasts will become firm and uneven. We recommend you to massage AT LEAST once a day. We went over massage techniques at your appointment. Pinch bottom of both breasts in a mirror 10x for 10secs, as instructed, daily paying apritcular attention to cleavage width, evenly moving them upward and avoid pushing them towards your armpit. If you have questions please let us know. 

ALEVE (Naproxen) 220mg 2x/daily for 4 weeks can help reduce soreness and inflammation to allow for more aggressive massage.

Activity:

Two weeks post op:

You may begin NON IMPACT cardio. This includes walking on a treadmill, using the elliptical machine without the use of your arms, stair climber, stationary bike, etc… Weight restrictions include not lifting anything over 10-15 pounds. No legs, core, chest, arms or upper back exercises allowed. 

Two months post op:

You may begin MODERATE IMPACT cardio, such as light jogging and workout classes like Zumba. Core and leg work is also allowed. Still no chest, arms, shoulder or upper back training.

Three months post op:

You are unrestricted at this point, but remember to start slow with low weight (low means 2-3lbs!) and high repetitions. Do not do anything too fast or too heavy! Start doing push ups against a wall/counter, then knees and finally progress to the floor. Use resistance bands instead of pull ups. If you do Crossfit or have a trainer, start with a modified workout. REMEMBER LIGHT WEIGHT AND HIGH REPS!

Incision care:

Now that your Steri-Strips are off, you can start caring for your incisions. The only scar treatment that has been proven to work is Silicone Strips. (ScarAway, NewGel+ etc.) Dr. Feldman recommends using silicone strips 24/7 for 3 months minimum but preferably 6 months. Dr. Feldman does not recommend roll on silicone as it’s not been proven to work. Scar creams like Mederma are not proven to work. If you don’t want to commit to long term treatment like the Silicone Strips, we recommend using any lotion that is good for your skin (Vitamin E, Cocoa Butter, Aloe, etc.) and lotion your entire breast and scars. Rub the incision back and forth or in little circles for 90 seconds. This will help break up the scar tissue and improve the look of your scars. Also don’t forget to protect your incision from sunlight and UV light for a full year!

Sleep:

Continue to sleep on your back for another 12 weeks. If you sleep on your side after 12 weeks, please wear a bra at night. This will support your breasts and maintain your implants centered on your nipples. Do not sleep on your stomach, this will cause your breast implants to go into your armpits.

Remember, if your breasts are headed south towards your belly button, you need more support during the day; If they are going into your armpits, you need more support at night.

**Dr. Feldman has done a quality surgery. He can no longer control your outcome. Your results are now up to you and how well you follow these instructions.**

Post Breast Augmentation Bra Fitment Tips

 

band fit

The band should fit nice and snug underneath your breasts/implants on the loosest to middle hook. The number in the bra size (32, 34, 36 etc.) affects this portion of the fit. If the band is loose, or “rides up” onto your breast the number is too large.

cup check

The underwire (if applicable) and cup should fit nicely around the new shape of the bottom of your breast without poking, spilling, gaping or digging into the skin/implant. The bra mark should be even and just below your breast, matching the roundness and width of breast/implant.

center bridge

The center panel in your cleavage should lay flat against your breast bone, with no gap. If it does not lay flat the cup is too small.