I am trying to decide which doctor to go with for my breast augmentation. Both doctors that I am looking at are the same except for their recovery practices. One doctors says to wear a sports bra 24/7 for 3 months and then at night for a year and no submerging in water for 3 months and the other doctor says no sports bra and I could go in water (swimming for fun not exercise) after 1 month. I need advice on which is best and if the outcome is any different? I am a 34B and getting 350cc.
Breast Augementation Recovery Practices, Which is Better.
Doctor Answers (12)
Breast Augmentation recovery practice.
There are as many postoperative recovery protocols as there are surgeons. There is not one right answer and common sense should prevail. The implant pocket has some need for massage but this is also an area of extreme variability. Find a surgeon that gets good results and follow those directions.
No Reason To Avoid Swimming Pool For 3 Months After Augmentation
I know of no reason to avoid submerging in a swimming pool for 3 months after your augmentation. In fact I allow my patients to do this after only a few days. Three months also seems a bit excessive for wearing a sports bra. I encourage my patients to wear a sports bra for 3 weeks or so and also to wear a Velcro strap over the upper breasts to encourage downward descent of the implants into a favorable position.
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It really depends on a few factors. Adequate pain control is likely the most important. Individual pain tolerance differs greatly. I find that women who have had children generally have less post-op pain, as they have a much higher pain tolerance. From a surgical point of view, there are several things the surgeon/anaesthesiologist can do to decrease your post-op pain.
I generally perform breast blocks prior to making any incisions with a mix of short- and long-acting local anaesthetics. I have found this greatly reduces post-op pain. I also encourage patients to take the prescribed pain killers regularly every 4 hours especially for the first 24-48 hours. If you don't stay on top of the pain in the immediate post-operative period, it is extremely difficult to "catch-up". Most of my patients experience very little post-op pain after breast augmentation.
Of course, the type of augmentation you have will also determine your post-operative discomfort. Larger implants, and subpectoral implant placement will also increase post-op discomfort. This doesn't mean you shouldn't get large implants, or place them under the muscle - you simply need to know what to expect. Many women also experience difficulty with sleeping in the first few weeks after augmentation due to the weight of the implants on their chest. This is more significant in back-sleepers.
To answer your question about time off work, my experience has been that there is a huge range. I have patients that go back to work the next day (against my advice), and I have had patients take as much as 2 weeks off of work. It really depends on what you do for work, and how you feel. As for taking care of your kids, if your implant is placed under the muscle, it will be a few weeks before you feel comfortable enough to pick them up.
As for scars, I tell patients it will take a year to see the absolute final result. Practically, however, by 3-6 months the scar will be very close to the final result. I suggest 3M paper taping, and have a specific scar massage protocol I use to help speed scar resolution.
I hope this helps. Good luck!
Post Operative Breast Augmentation
Every surgeon has his or her own post operative protocol. It is very important that you find a surgeon you are comfortable with and whose post operative instructions you can follow. This will allow for a good patient -doctor relationship. Best of luck!
Which is better
Surgeons are like cooks; they each follow a different recipe but in general have a similar end result. Go with someone you feel comfortable with and follow their directions. Make sure you go to a board certified plastic surgeon. Donald R. Nunn MD Atlanta Plastic Surgeon.
Post-op augmentation policy
Every doctor has a different regimen. I prefer to have my patients wear a sports brar for several weeks. Swimming or exertional acitivity should be avoided for 4-6 weeks. Just going in a pool and soaking usually should be avoided until the incisions are fully healed( probably about 3-4 weeks or so).
Breast augmentation recovery recommendations.
Wearing a bra 24/7 for 3 months is not a good recommendation IMHO. Is this doctor trying to minimize bruising, bleeding, and capsular contracture with compression? Because of blunt dissection rather than careful and precise pocket creation? And even if he is, why 3 months? And no submerging in water for 3 months? This doctor seems both off-base and ultraconservative, perhaps on the basis of bad results in other patients, or inexperience.
The second doctor seems more reasonable and appropriate.
I'd ask just how many breast augmentations each one does in a year (ask his nurses independently, or ask the charge nurse at the hospital or surgicenter). This will also help guide you.
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Breast aug recovery not that long
I agree with the second doctor. The first recommendations seem extreme. I can't imagine how staying out of water for so long could make any difference. I recommend a surgical bra 24/7 for a week. Then good support during the day for the next few months. If the implants need to drop, sometimes going without a bra can help. I clear all my patients for any activiy at 3 weeks. Ultimately, post op instructions probably are as important as surgical technique.
Postoperative care after breast augmentation
There is no single best protocol following breast aug. Typically, if a doctor has good results, and comes highly recommended, his/her protocol is probably fine. Three months in a sprorts bra seems excessive.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.