How Do You Breast Massage?

  • Its4Me Jen
  • Fort Loudon, PA
  • 1 year ago

I've been looking online for instructions on how to do the breast implant massages and have found so many different directions/instructions.  At my Post Op appointment my PS gave me entirely different directions than anything I have seen or read at all.  I like his, but curious to how everyone else does theirs?   My PS has us pushing my implants together from the outside towards the middle.  He then has us pull them up from the top by pushing up until the bottom crease of my boobs are showing.  We hold each exercise for a few seconds and repeat each a few times.

Comments (5)

Dear Jen, ​Thank you for your post. There are many reasons why one would want to do breast massage after surgery. These include, 1. to try to massage an implant into place that is assymetric with the other side, 2. to try to massage implants down that are too high, 3. to try to massage a constricted area of the breast to loosen up, as in tubular breasts, and finally 4. to try to prevent capsular contraction around the breasts. As you probably have guessed, the type of massage for these different issues will be different as we are trying to accomplish different things. 1. When the implants are assymetric, or appear to be at different levels or height, then the massage is different from side to side. This occurs sometimes if the implants are placed under the muscle and one muscle is released slightly different from the other side, or the muscle is naturally larger or different shape from the other side. Sometimes massage is performed to one breast only, and sometimes to both breasts but in different directions. You should ask your surgeon for specific instructions as every situation is different, but in general, think of the breast as a 'circle', and massage with significant breast on the opposite side of the circle that you want the implants to go. You have to feel an actual stretch in the tissues in the area that the implant need to go for this to be of benefit, otherwise you are not really accomplishing anything. If the massage is in the direction of the incision, I usually protect the incision with steri-strips in order to keep the scar from widening in the early first 3 months during the massage. The massage needs to be finished in the first three months and started early, otherwise it will have little to no benefit. Look at the breasts and analyze the symmetry and where the deficient areas are to make a nice smooth beautiful contour, and stop once that goal is achieved. 2. When the implants are high, and have not dropped, but are symmetric, some physicians use a tension band on top of the breasts, some ask the patient to go without a bra and allow gravity to slowly move the implants, some do a similar massage to the above but doing exactly the same thing on both sides. Consult with your physician on this. 3. When there is a constricted breast like tubular breasts, I sometimes have the patient massage as in #1, sometimes have them massage both sides of the 'circle' to loosen the constricted skin, and usually leave the patient out of a bra if both sides have tubular breasts or constriction at the bottom, or if only one side is constricted, have the patient wear a bra, but cutting out he cup on the side that is constricted, so that only the normal side is supported. 4. Finally, maintenance massage. I disagree with surgeons who want to keep the pocket or 'capsule' of the breast where the implant is contained larger than the implant. This aids in the implant becoming more and more displaced over time, with more separation at the cleavage point especially when you lay down, and can also cause sagging of the breasts. I actually use textured implants as a way to fight the implants moving inside the capsule of the breast so that they stay 'perky'. Natural 'perky' breasts stay in place when standing up or laying down, so 'perky' implants should do the same. I think the implant should fit in the capsule or breast pocket like a glove, and actually be adhesive to it. Thus there is a 'perfect' amount of massage that is necessary to keep this capsule flexible, but not wider than the actual implant and thus allow for movement of the implant and thus sag. I like grabbing the breast and pressing the opposite sides of the 'circle' toward the center, causing the central or nipple area to bulge out. I have my patients do this pushing the top and bottom together, the sides together, and then both diagonals together. This puts more pressure on the central portion of the implant, rather than the sides to allow the implant to continue to be adhesive, but the capsule to not widen. I ask my patients to develop a routine and do it in their morning shower, this way it becomes habitual and they won't forget, as this is a lifelong routine that should be performed. Best Wishes, Pablo Prichard, MD
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I'd definitely follow what YOUR doctor recommends, but here is what some other docs have to say about breast massage. Hopefully some other ladies who've done it will chime in here, too!

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Thank you Angie. I am definitely following my docs orders. I was just curious to see what other women were doing since it seems each doc does them a little different.
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My doc says to push down toward ground from top of breast for 30 seconds, then push together from outside for 30 seconds. Then, push implant up and down in each breast, individually, 12 times. Repeat that 4 times a day for the first weeks, go down to three times, then two, and once daily forever after that. So, it's similiar to your doc's orders...
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Thank you 3km. I found this video that gives the same instructions my doc gave, plus a lot more. I think I'm going to try them all. I'm just real scared of getting a capsular contracture, so have been looking at all the different techniques out there. This is the one I found on YouTube: http://www.youtube.com/watch?v=kZ7vFcicM1c
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