Louisville Breast Implants doctors

I would agree with others that you are a setup for complications and problems with a combined mastopexy and breast implants, particularly of that size. 

The proper way to size implants is to make sure they fit you and know what effect they will have in terms of cup size increase from what you're starting with. This is done by matching the diameter of the implant to the diameter of your breast (after subtracting for two layers of skin) and then choosing the forward projection (profile) and then finding out how many cc's that it rather than starting with a choice of cc's (like choosing a dress or shoe size) and working backwards. 

There are numerous problems with combining lifts with augmentation. One is that a properly lifted breast will look bigger even if it doesn't actually get bigger and this makes it harder to judge the effect of an implant. Another is that the forward push of the implant works against the tuck and incisions of the lift such that a smaller implant generally does better than a larger one. Some breasts don't actually need a lift and can get a lift effect from a properly sized and positioned implant (although the implant doesn't actually lift the breast up and it can't be too low and still get an implant positioned behind the nipple-areola). A lift, properly done, moves the nipple-areola and breast up on the chest but doesn't give it forward projection or specifically fill in the upper pole. If breast size is reasonable and the breast is too low for an augmentation, it is often better to do the lift first and then see if an implant is still needed. 

I'm not surprised by the variety of responses to this question as there is really no scientific answer and it's possible to get away with a lot or to do things that don't really help but are believed to help. We saw this with compression after liposuction in the early years of that procedure (and still see it to some extent). 

The way to think of breast implant surgery is to think of placing an orthopedic implant. The implant must be sized properly, positioned properly, and healed in position properly. Then it shouldn't need any support or restrictions. Breast implants also need to be sized properly, positioned properly, filled properly (if saline), and healed in the proper position. This takes two weeks of healing and the bra is an elastic splint to help hold the inframammary crease and the implant in the proper position for healing. After that it shouldn't matter what you wear although the breast tissue in terms of look and feel is still resolving over the first six weeks or so just as it does after any surgical procedure. 

I put patients in an elastic bra continuously for the first week and nearly continuously for the second week and then leave it up to the patient. This is mostly for the elastic strap in the area just below the inframammary crease which has to heal in place and for the containment of the implant/breast in the proper position until capsule formation at about 10 days. It's a myth that implants "drop" or need elastic across the upper pole of the breast. The "settling" effect is differential swelling/stiffness in the upper and lower poles of the breast, not implant movement. If the implant was properly sized and positioned with adequate release of the tissues in the lower pole (including the pectoralis muscle edge), it just has to heal there followed by some resolution of tissue reaction. It doesn't make sense to put an implant in one place and hope it ends up somewhere else or or to allow it to get out of position during the healing process. 

Think of breast augmentation as if it were an orthopedic procedure such as a hip replacement. It's not nearly as involved or functional but it has to be done right and then requires a splint and restrictions until things are healed adequately and then there is a period of rehab. For breast implants/augmentation the first week is the most critical for a number of reasons, and I advise patients to take this week off from any required activity. The second week is still healing but will allow for normal activities that don't stress the chest or upper body. Sports, upper body exercise, heavy lifting, and lying on the breasts would still not be wise, so this would include wearing and possibly needing body armor. After two weeks the breasts/implants are healed and restrictions are lifted but like being out of shape, it's not reasonable to immediately engage in extremes, so working back into vigorous upper body activities would be wise as in rehab for a knee. By about 4-6 weeks the tissues should be recovered and confidence returned to do whatever the patient was doing before the augmentation and not thinking or worrying about it.