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Should I Wear a Sleep Bra at Night to Keep Breast Implants in Position?

I'm 4 months post-op with 450cc Saline unders. Should I sleep in a bra to keep the implants in position? I'm afraid that sleeping on my side or back might cause the implants to migrate to places they shouldn't be. My PS didn't think I should worry about this and left the decision up to me.

Doctor Answers (9)

Bra after breast augmentation

The first weeks following breast augmentation are an important stage of your recovery. Because of this, it’s essential for patients to wear a bra that provides support for the breasts throughout the first eight weeks of recovery, preventing the implants from falling to the sides or "bottoming out" (when the implants move unfavourably downward). Although this complication isn’t common, some patients develop weaker scar tissue, providing less internal support for the implant. Surgeons are unable to determine who is at risk for this issue until implant displacement occurs. Wearing a bra day and night helps to provide extra support during the healing process. In addition, some patients may receive extra support from a tensor bandage, wrapped around the chest at the top of the breasts. This bandage would be worn for the first two weeks.

By now, most likely your implants have settled and yous hold be okay to sleep in whatever position you'd like. 

Toronto Plastic Surgeon
5.0 out of 5 stars 59 reviews

Implant Malpositioning While Sleeping - Do I Need A Bra?


At 4 months post surgery, wearing a bra to bed, in my opinion, will have little effect on implant positioning.  Sleeping on your back for the first 2 weeks is a great idea to decrease implant malpositioning.  I do not have my patients wear a bra for the first month after surgery, and only an ace wrap to keep the implants from riding up.  Side to side malpositioning has never been an issue in my practice. 

S. Larry Schlesinger, MD, FACS
Honolulu Plastic Surgeon
5.0 out of 5 stars 207 reviews

Sleeping positions after a breast augmentation


After a couple of weeks you will not need any kind of bra for sleeping , unless you feel more comfortable that way.  You can sleep in any position without fear of implant migration after two or three weeks.

Talmage Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

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4 months after breast augmentation


By 4 months after breast augmentation surgery, you can really be comfortable to sleep anyway you want.

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Wearing a bra at night following a breast augmentaiton


At 4 months post op the capsule around the implant is well formed and you should not need any extra support at night.  I would wear a support bra when exercising.  If you desire there is no down side to wearing a bra at night.  

Jeffrey Zwiren, MD
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Wear a Bra after Breast Augmentation?

At this point, I think that you will be fine either way. On the other hand, always  best to use your own judgment; if you feel that the breast implants “displace” significantly in different positions sleeping,  it may be best to wear a bra...
 Best wishes.

Tom J. Pousti, MD, FACS
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Should I Wear a Sleep Bra at Night to Keep Breast Implants in Position?


I would yield to the advice of your surgeon who has followed your recovery. By four months the capsule around the implant is well formed, and the support that may be important early on is no longer so.

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
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Bra after breast augmentation


At 4 months post-op you should not need to use a bra.  The implant pocket is well-defined within 10-14 days after surgery.  Further bra use after this time may be indicated only if you are trying to modify the pocket but pocket modification is less likely to occur with bra use after 3-4 weeks post-op.

Clyde H. Ishii, MD, FACS
Honolulu Plastic Surgeon
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Sleeping in a Bra at Night


    I would tend to agree with your plastic surgeon on this as you should have stable scar tissue.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
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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.