After surgery the doctor told me to wear something like compression band above my breast constantly for no less than 6 month… Isn’t it too long period? They didn’t tell me to wear surgical bra, just strap around me. Is it right? Don’t I have to wear something to support the breasts? ( I have 275cc smooth moderate plus silicone)
Wearing a Compression Band for 6 Months After Breast Augmentation?
Doctor Answers (11)
Prolonged use of compression bands on breast implants: Not necessary!
The prolonged use of compression bands that you describe is not necessary and I would discuss this with your plastic surgeon. In breast augmentation surgery, no matter what the breast shape, size or technique, the pocket dissection should accomodate the chosen implant size. I do not rely on bands or bras in order to "force" the implant down. Typically this is utilized for a blind dissection pocket that is too small for the implant, usually seen in some trans-axillary (arm pit) type techniques, and commonly doesn't work. Breast implants will be high riding after a sub-pectoral pocket placement because the pectoralis muscle has some amount of spasm over the implant and holds it in a high poistion. Once this muscle relaxes, the implants will drop into their accurately dissected pocket which ususally takes 2 to 3 weeks and not 6 months.
I hope this helps.
Use of Bandeaus (down pushing straps) over the Breasts should NOT have to be done for 6 months
High riding implants and prolonged use of an upper pole band
IF you have little to no lower pole redundancy and the implants are high riding after the surgery, it may be reasonable to use the upper pole band for a prolonged period with no lower pole support in order to encourage stretching, expansion and relaxation of the lower half of the breast which will allow settling an descent of the implants.
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Bands are not necessary
Ask your surgeon why they advised you to do this
Compression band after augmentation under the muscle
Wearing breast bands after surgery
Some surgeons recommend wearing breast bands after breast augmentation surgery. I generally find then to be cruel and unusual punishment. In the event that your implants appear to be sitting too high initially after surgery, it is reasonable to wear a band to get the to settle sooner or to prevent them from moving higher. If you have a situation where one implant is sitting higher than the other, I have found Ace wraps useful by wrapping the bandage above the higher breast implant and below the lower implant. In the majority of cases, I recommend no wrap at all. Six months is way too long in my opinion.
Surgical band after breast augmentation
The use of various types of surgical bras or bands after breast augmentation depends on several factors, and your surgeon may have specific reasons for recommending its use for 6 months. If you have concerns about the band, you should discuss it with your surgeon rather than discontinuing its use on your own.
Compression bands do not help if breast implants are too high.
I know that many surgeons use these bands. But in our experience, the implants need to be at the correct level at the end of surgery. If they are too high, bands will not bring them down.
Compression Band Usage Following Breast Augmentation
It’s not unusual for patients to have superior displacement of their breast implants in the immediate postoperative period. This occurs for a variety of reasons including spasm of the pectoralis muscles and swelling. In an effort to minimize this problem many plastic surgeons utilize a superior breast compression band. This device forces the implant in an inferior direction which keeps the inferior pocket fully expanded. In the majority of cases this is only necessary for about two weeks. After two weeks most of the swelling and muscle spasms have resolved and this maneuver is no longer necessary.
If the breast implants are still superiorly positioned after six months, a compression band won’t change the implant position. Under these circumstances more aggressive maneuvers are usually always necessary. In most cases this involves expansion of the inferior breast pocket with a procedure known as acapsulotomy.
If you’ve been wearing a superior compression band for six months it’s appropriate to discuss revisional surgery with your surgeon. Hopefully a treatment plan can be formulated that addresses your concerns.
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.