How Long to Recover from Dual Plane Breast Augmentation?

I am going for surgery next week, and would like to know how long is a sufficient time to recover. I do not want to rush anything, and want the surgery to be successful. Is 3-4 weeks really long enough? Would 6-8 or longer be better? I am reading so many different things, and am quite confused.Thank you for all your feedback.

Doctor Answers (9)

Dual Plane Breast Augmentation Recovery

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Recovery guidelines vary according to the surgeon, that's why it's best to ask your surgeon for their advice. It also depends on what you'd like to do. Generally, I recommend patients wait 5-7 days before returning to sedentary work, and 3 weeks before resuming cardiovascular exercise. You should wait 6 weeks before resuming upper body strength training and heavy lifting. Your results can be assessed at 3-4 months.


Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews

Augmentation Recovery with sub-muscular or 'dual plane' vs sub-fascial or sub glandular

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Thank you for your post. There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Done well, breast augmentation can have a very long lasting beautiful result. The following is an outline of what to expect after augmentation based on some of these variables. In general, treat 'dual plane' augmentation as very similiar to 'sub-muscular' in the recovery process.

1. Pain: In general, breast augmentation is tolerated very well. When the implant is placed sub-facial or sub-glandular, i.e. above the muscle, there is very little pain post-operative. The muscle is left in place and in general, when I perform this technique, women have surgery on Friday, and are back to work (as long as they are not lifting heavy objects) on Monday. When the implant is placed sub-muscular, then there more pain and soreness as the muscle has been elevated which is similiar to having a pulled or torn muscle. This creates more swelling and takes longer to heal. In these case, most women take at least a week off of work.

2. Swelling and Size: It is very common to be about a size bigger right after surgery than what your final result will be. Swelling starts to occur right after surgery and tends to peak in the first week. After about a month you will have lost most of the swelling, but still not completely at baseline. After about another 3 months or so, you will have lost 99% of your swelling, but still have a pretty good idea of your final size at 1 month. I wouldn't spend a lot of money on bras until 3 months though, as they might not fit perfectly after all the swelling goes away. Also, the more activity you have, the longer the swelling stays, the more that needs to be done as far as lift etc. with surgery, the longer your swelling stays. As stated above, going below the muscle tends to produce more swelling and lasts for longer.

3. Scars: The natural healing process undergoes multiple phases, but in general, the first phase is the inflamatory phase were any scar will be firmer and may turn red or darker initially. This tends to last for 3 months. After this phase is the resolution phase where the scar inflammation goes away and all scars will be at their baseline at 1 year. The scars are mostly at their baseline at 6 months. The scars should be minimal if placed well, and sutured properly. I also like to protect the scars from stretching or widening in the first few months with surgical skin tape. The incision will be weak at first and susceptible to stretch or widening.

4. Massage: Your doctor may recommend early or late massage, depending on what is trying to be accomplished. In general, early massage is to manipulate a high implant or stretch a constricted area, such as in tubular breast syndrome, and late massage is to help fight capsular contraction. Search 'Breast Massage' to find my recommendations on this.

5. Exercise: In general, I ask my patients to keep away from aerobic activities in the first 2 weeks following surgery. Increased activity can increase swelling and hyper-swelling can cause stretch marks. Following this, 'non-bouncing' aerobic activity is fine, such as speed walking or cycling, but would like to keep the implants from moving too much until the capsule that forms around the implant has a chance to heal and become stronger. At 6 weeks, I clear any type of activity.

6. Infection: Infection after augmentation is very rare. Most surgeon give post-operative antibiotics to help protect you from infection.

7. Hematoma/Seroma: These are also very rare after augmentation. If the pocket for the implant that is made during surgery is a hand in glove fit, then there is very little room for any fluid to collect. It is important that the surgical pocket be free of any bleeding prior to closure to keep a hematoma from happening. If a hematoma does occur, it is important to drain the hematoma to prevent capsular contraction.

8. Sleeping: I ask women to sleep on their backs with their post-operative bra on after surgery to keep the implants in their proper position until the capsule that forms around the implant has a chance to heal.

I hope this has answered most of your post-operative questions.

Best Wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

BBA

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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!

Sincerely,

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Recovery from breast augmentation

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Everyone heals a bit differently, and it also depends upon what type of surgery you have doen. In my practice, patients often fell better within a few days and can go back to desk work within a week. I usually have them limit aerobic activity for 3-4 weeks and heavy liftng for 6-8 weeks.

Steven Wallach, MD
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How long to recover from a dual-plane breast augmentation?

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The dual plane technique is our usual method of performing this surgery.  Most of our patients are back at work in a week, and back at the gym in 3 weeks.  Most use their pain pills for the first 2-4 days.  Usually very little bruising. 

So yes, I think 3-4 weeks, as you have suggested, really is enough, unless you have some unusually active job or hobby.

 

All the best,

Thomas Fiala, MD
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Recovery after Breast augmentation

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In my practice most patients are over the initial discomfort in about 3-4 days and most patients with a desk type of job usually return to that job about 5 days after surgery. I usually let patients start light aerobic work outs at about 10 - 14 days after the breast augmentation but they may start a bit earlier or they may be out walking around their neighborhood after just a few days.

I usually have patients start lifting weights at 4 weeks and they have no restrictions at 6 weeks. So its a gradual return to activities. Most patients have some hypersensitivity of the skin of the breast or of the nipple at one month.  This resolves over the next several weeks. At three months it is rare to have any hypersensitivity and nearly all patients at that time feel as though the breast implants are part of their body.

I hope you find this helpful.  Thank you for the question and good luck.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
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Recovery after Dual Plane Breast Augmentation

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In my practice, I have not found any signifigant differences between patients who are having a dual-plane release and those who are having another version of a breast augmentation.  Most patient can return back to a desk job in 2-3 days.  Brisk walking can begin at that time.  In 7-10 days, they can start light aerobics.  At 3 weeks, I let my patients return to almost all of their normal activities with the recommendation, start slow and work your way back up to where you were before your surgery.

Swelling after breast augmentation will vary from patient to patient and also depending upon the technique used for the surgery.  Blunt dissection techniques tend to have longer period of swelling than other techniques.  For the most part, the majority of swelling should be gone at three weeks post-op and the remainder gone over the next month or so.  

Best of luck.

 

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
4.0 out of 5 stars 18 reviews

Recovery after Breast Augmentation?

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Thank you for the question.

The answer to your question would depend on what you are defining as “recovery”. For example, most patients are over the “hump” of discomfort around day four after surgery. Most patients are able to return to work ( desk job)  at about one week postop. Most patients resume more strenuous exercise/lifting 4 to 6 weeks after surgery.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 757 reviews

Recovery after breast augmentation

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Thank you for the question. Most of your swelling will decrease in the first week. It then takes around 6 weeks for the rest of the swelling to resolve. Your final scar will be at one year. In regards to pain, most of the pain will be during the first 3 days. You may have some soreness for the first few weeks.

Jacob Freiman, MD, FACS
Miami Beach Plastic Surgeon
5.0 out of 5 stars 93 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.