How Long Does a Pocket Revision Last if You Are Athletic?

I have saline implants for about 13years now 460cc on right 445cc left, my left breast pocket has shifted into my armpit. This has made me decide its time to replace, so I will being going from saline to smaller 375cc mentor silicone moderate implant having my pockets sutured at the same time. I love my yoga, once I give it the recovery time needed, will I be ok to still do my Yoga stretches without tearing my pockets again? Is 5 weeks recovery enough? Thank You

Doctor Answers (8)

Protecting revision of the implant pocket

+2

Often the pocket problems we see are set in motion at the time of the initial breast augmentation because if the implant fits the pocket well and is centered in the breast, the implant should not shift or migrate over time. If the pocket is too large and the tissue lax the implant can slide off to the side, or bottom out. Capsule or pocket repair is effective in centering the implant, though good support with a bra for six weeks, and limited upper body exercise for six to eight should get you off to a good start.

Best of luck,

peterejohnsonmd


Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

Breast Implant Revisions for the Athlete

+2

Women with breast implants tend to  take good care of their bodies and have a high level of fitness. Your concern about being able to return to vigorous  activity without jeopardizing the result is appropriate.  There are several surgical approaches to revising your pocket to prevent displacement into the armpit.  Closing off the excess space  in the upper chest might include excision  of the capsule  to minimize chance of reopening, The closure could be reinforced with sutures or with a material such as Stratice or Alloderm, as Dr. Baxter suggested.  It might be valuable to release the pectoral muscle in the lower inner quadrant of te dual plane pocket to keep it from powerfully displacing the implant.  Post operatively I would recommend no excercise that uses the pectoralis for six weeks and use of an implant stabilization band . 

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 86 reviews

Breast pocket repair in Seattle

+2

I agree totally with Dr. Baxter's comments but I also ask my patients to wear a very specific bra for 3 months night and day and to avoid heavy pec activity for 3 months to lock the implants into their new "home."  It takes 2-3 months for that healing to take place so why risk a recurrence?  Strattice can also help but I would reserve it for a failure of a suture repair in most cases.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

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Specific issues for breast implant revisions in athletic women

+2

If we assume your implants are under the muscle, then it is likely that one reason your implant moved to the side is because every time the pectoral muscle is flexed, it pushes the implant in that direction. On the other hand, going over the muscle will likely have a fake look. I would recommend 6 weeks before any vigorous physical activity involving the upper body, and consider reinforcing the pocket repair with Strattice for extra insurance. Going smaller is a very good idea too.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 23 reviews

Breast Revision

+1

This is best answered by your Board Certified Plastic Surgeon as they will be the ones to know how much tension you have on the area, and how your healing progress is.

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast augmentation revision

+1

It sounds like you will benefit from closing off the space of the breast implant pocket (lateral capsulorrhaphy) on the left side. You are correct in understanding and limiting strenuous activity involving the left arm for at least 2 to 3 months is in your best interest.  Hopefully you can modify your exercise program to avoid recurrence of the implant malposition problem.

It is also important to select a well experienced plastic surgeon who can demonstrate his/her successful surgical results for patients in your situation.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 719 reviews

When to perform yoga after revision breast surgery

+1

The tissues that are sutured when downsizing from a larger to a smaller implant size can be easily torn from an early return to activity. While it's my recommendation that patients avoid heavy lifting and  exercises for up to six weeks after a rountine augmentation, I further increase this time interval to 3 months after a revision procedure. I agree that strattice (costly) can further add reinforcement to your revision and will allow you an earlier to return to activity. Because of the associated costs of revision surgery, give yourself a little longer recovery, or alternatively, participate but do so at a lower activity level after your surgery. 

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 9 reviews

How Long Does a Pocket Revision Last if You Are Athletic?

+1

Yes. 5 weeks should be enough recovery but there are NEVER any guarantees. Best to discuss in detail with your chosen surgeon in an informed consent session. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

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.