ABSOLUTELY NO lifting more than 2-3 pounds until your 2-week follow up appointment. (examples: bottle of water, cup of coffee, can of soda. A gallon of milk is TOO heavy!) Avoid sweating, elevating heart rate and/or blood pressure for the first two weeks as well.
AFTER Two weeks post op: You may begin NON-IMPACT cardio ONLY. This includes walking on a treadmill, using the elliptical machine without the use of your arms, stair climber, stationary bike, etc. Do not lift more than 10 pounds. No core, chest, shoulders, upper back, arms or leg exercises are allowed at this time.
Two months (8 weeks) post op: You may begin MODERATE-IMPACT cardio, such as light jogging and workout classes like Zumba. Isolated leg exercises on weighted machines are allowed at this time. Body weight (no additional weight held by arms or on shoulders) core work, is also allowed. Still NO chest, shoulder or upper back exercises at this time.
Three months (12 weeks) post op: You are unrestricted at this point, but remember to start slow with low weight (2-3lbs) and high repetitions (50+). Do not do anything too fast or too heavy! Start doing push-ups against a wall/counter and progress to the floor. Pullups should be done with resistance bands. If you do Crossfit, start with a modified workout, and discuss restrictions and plan with your trainer. REMEMBER LIGHT WEIGHT AND HIGH REPS!
It will take you 9-12 months to regain your pre-operative upper body strength, due to 3 months of not using those muscles, and the change in mechanics from the muscle stretching over the top of the implant. Be patient as it’s worth the wait.
The most frustrating part of Dr. Feldman's practice is when patients' fail to recognize the importance of following post-operative care instructions and activity restrictions. Many of the complications encountered after breast augmentation are preventable, and directly attributable to not following the above activity restrictions. Compliance with our instructions, and restrictions, plays as large a role, or even larger, in your result as the surgery itself. We collectively call this "pride of ownership." Unfortunately, actions, such as working out too soon, or jumping directly into heavy weights, have consequences, and many times overuse will lead to bleeding, bruising, hematoma, contracture, implant malposition or symmastia. Most of Dr. Feldman's patients over do it, most get away with it, but about 5% don't, meaning 5 out of every 100 surgeries require another operation in the first 6 months that could have been avoided by following instructions.