I counsel women with breast implants that massage is useful for the following reasons: a) it is a biofeedback technique, in which the pain resulting from stretch on the muscle and breast flap is over ridden by the sensation of pressure from the massage; b) it allows displacement of the implant into the pocket; c) it reacquaints the woman with her breast and enables her to become familiar with breast self-exam; d) it may reduce the occurence of capsular contracture; e) it is a prelude to a woman's resumption of her personal life.
In general, I instruct breast implant patients to start a week after surgery. For those women who have both a breast implant and lift, we start at two weeks. I generally don't recommend massage with textured implants.


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