I had BA 10 days ago. I had 375cc silicone implants placed above the muscle. They came out bigger than I expected. I am 5’3 125 lbs and a thin frame. I am wondering how easily they could move. Will jogging or heavy bouncing cause them to move, rotate, or bottom out?
How Easily Will my Breast Implant Move?
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Running and bottoming out?
Pablo Prichard, MD
Not likely to move
Once the capsule (lining of the implant pocket) has formed the implants are unlikey to move to any significant degree. Capsule formation begins in the first week, and the capsule is well-established by 3-4 weeks. That is why, in my practice, we begin to remove activity restrictions and start patients on an implant massage program at that point. I do not allow high impact activities ("jogging, bouncing") for about one month from the surgery date. And, when high impact activities begin, it is very important that you wear a good support bra.
Though all of the above is true, occasionly we do see some shifting of breast implants. Women at highest risk for this problem are those with thin soft tissues, very large implants, and implants placed above the muscle. From your description, if you follow your doctor's instructions, your risk should be minimal.
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How stable the location of the implant is depends on a number of factors
Regardless of what location the breast implants are placed gravity will always want to pull them down over time. Factors that affect how much this occurs include:
1) Strength of the breast tissue (breast with excess laxity before surgery will have less integrity). The thinner the tissue the less strength it is likely to have.
2) How heavy the implant is.
3) How the breasts are supported. ( good support, especially during impact activity will help)
Make sure you wear support the majority of the time and especially during impact activity and you should be alright.
All the best,
Breast implants seldom move
If your breast augmentation has been well done and the implant fits the breast envelope and pocket well, breast implants seldom move. Many have a concern that without a support bra, or with exercise that the implant will drift out the side, or fall under the breast. Let your implants heal and settle in for six to eight weeks and exercise should be just fine.
Best of luck,
Exercising with caution after breast implants
Breast implants work as breast tissue expanders as well as fillers. By stretching the breast tissues, the implants make the breasts bigger and more round in shape. Necessarily this process takes time. Breast implants will make the breasts:
- Larger and more round
- Usually firmer - and heavier, causing more pull from gravity
- Fuller in the "upper pole", the area of the breast above the nipple
The breast tissue will respond to the message of stretching and growing over time. The kind of exercise that will give a patient the most trouble is running/jogging and weight lifting in the first 6 weeks but up to 3 months from surgery.
Exercises that cause bouncing and jarring of the breast will send a message of stretch to the lower aspect of the breast envelope and eventually cause the implant to settle lower in position than planned.
How much do breast implants move?
You ask a question that is actually quite complicated. There are many factors that enter into the answer. First by going over the muscle, there will be less tendency for muscle contraction to move the implants to unwanted locations. I restrict patients from doing chest muscle exercises for 3 months, for example, if the implants are "unders", but if the implants are over the muscle, I allow all activities at 3 weeks. If a person develops capsular contracture, the implants won't move as much and will look less natural, for example, when jogging. If your skin envelope is tight, there will be less of a tendency for bottoming out over the years. But if you have a "droopy" breast to begin with, there may be additional stretching that will occur as time goes on. You ask about rotation. If you have round implants, rotation doesn't matter. With shaped implants, however, that is a possibility. I don't think there is anything you can do to 100% prevent that from happening. I agree with what the other surgeons have said regarding the fact that you probably still have swelling and shouldn't judge the size just yet. Be patient and you will probably be very happy.
Implant Displacement With Exercise
Recommend three weeks until normal activities
I recommend waiting three weeks before beginning normal activities following breast augmentation either subglandular or submuscular. For submuscular implants it will take up to three months for the muscles to relax enough for the implants to come down in the pockets and begin to look and feel more natural. Subglandular implants will look and feel natural much sooner. I recommend wearing a good support bra for at least two weeks after surgery and limited activity for at least the first week.
Will my breast implants move
Breast implants tend to feel rather firm and have little mobility right after surgery. In a few weeks they will feel more natural. I believe your question has to do with the pocket. Once the pocket is formed, jogging and heavy bouncing generally does not lead to bottoming out. The implants however will move as the breast tissue moves. A natural C/D cup breast will bounce around with jogging. Likewise, an augmented C/D cup will bounce around. That's why you should plan on wearing a good sports bra when participating in these activities. The breasts should feel and look natural, so take care of them as if they were natural.