Wearing a Compression Band for 6 Months After Breast Augmentation?

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.

Dr. Trussler

I do not use any type of compression apparatus after surgery.  If the operation is performed correctly, then massage alone will allow the implants to fall nicely into place.  If the lower pole of the breast is inadequately released, the implants will not fall, even with a band.

Thank you for your question. If your surgeon is recommending a bandeau, they may think that the implants are currently riding too high and would like to push them down. A bra conversely would prevent the implants from lowering.

While sometimes a compression band may be utilized post surgery for breasts that are sitting in a high position, it is normally not needed for a prolonged amount of time. Massage and giving it time will allow them to settle nicely on their own. Breast implants usually settle within a few months at most and compression is not commonly required for extended periods of time. You should consult with your plastic surgeon regarding his specific recommendation of wearing the compression band for 6 months.

In general I do not ask my patients to massage or wear special garments after three weeks post-op.  That being said in a rare instance I do ask patients to massage one or both breasts/implants.  That being said, I would respectfully suggest that after 3 months post-op any massage or manipulation of implants will have no effect upon the ultimate result.  So, in short, 6 months post op, my personal belief would be that what you see is what you get.  Best of luck.

I typically recommend that my primary breast augmentation patients wear a light weight compression breast band and front closure sports bra for the first four weeks following their surgical procedure.  I would recommend discussing your specific surgeons post-operative protocols, including their recommended use of compression garments, at your next follow up visit since every surgeon varies in what they require/advise.