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The displacement of breast implants is recommended to reduce the risk of capsular contracture. Displacement of breast implants is done for smooth surfaced saline- and silicone gel-filled implants; it is not recommended for breast implants with a textured surface. Smooth breast implants will move freely within the pocket, while textured surface implants do not move either because of increased friction caused by the texturing, or tissue in-growth into the textured surface. I have my patients begin implant displacement exercises one week following surgery. The acute pain of surgery has subsided by then so the displacement can be done a bit more comfortably. >> Place your hand flat over the central breast and press the implant inward towards the chest wall. Hold it there for a few seconds. >> Lift each implant up; with your hand under the implant, slide it up the chest wall slowly, pushing it up towards the clavicle. Hold it there for a few seconds. >> Push the implant medially; with your hand on the lateral part of the implant, slide it towards the sternum. Hold it there for a few seconds. >> Push the implant laterally; with your hand over the medial breast, push the implant laterally. Hold it there for a few seconds. The right implant can be displaced with the left hand, and vice versa. The displacement should be performed slowly and steadily with moderate force. Each displacement should be performed ten times. Initially the displacement of the implant will be somewhat limited. But as swelling subsides, the tissues stretch, and the implant settles, the implants will move more easily in the pocket. Pain may limit your ability to move the implants initially, but as this subsides you will be able to displace the implants much more readily. I only have patients push implants down if I feel they are not settling as intended. Perform these exercises three times daily for six months following surgery, then two times daily for the next six months, and then once daily thereafter. Best wishes.
Not every plastic surgeon recommends implant massage following breast augmentation, but the vast majority of surgeons believe it's extremely important. Implant massage is also known as implant displacement and is designed to stretch the implant pocket to avoid the development of capsular contracture.Implant massage is started one week following surgery and is typically performed approximately three times per day. Each session typically lasts about two to three minutes. The implant is displaced superiorly, inferiorly, medially and laterally. This is done for at least one year following surgery.Variations in implant position, type of implant, and patient anatomy make every patient unique. For these reasons, implant massage isn't indicated for every breast augmentation patient. Before proceeding with implant massage, discuss this issue thoroughly with your plastic surgeon. He will teach you the proper technique for implant displacement and monitor your progress.
Thank you for your question.If you find that your breast is tight and particularly if you went up a few cup sizes, then breast massage will help your implants settle. I typically recommend waiting a week as it sooner may be too uncomfortable. However, if you can tolerate it earlier, then you can do so. I also recommend lymphatic massage as this helps to reduce swelling much faster in the breast.As far as how to massage, I recommend displacing the implant in all four directions (up, down, left and right). Example, pinch the breast on the top to displace the implant downwards. For the lymphatic massage, it is much more of a light gentle touch. We often recommend a massage therapist to help with this or we show patients how to do this at home. I generally recommend doing this a few times a day.
I do not regularly recommend breast massage and if I do, it would be from about a week to 10 days after surgery because your body is still recovering from surgery. Massage may cause bleeding, increasing the risk of capsular contracture.
This is a controversial topic since some surgeons dont even believe it is necessary to perform any massage at all. I advise my patients to start implant massage a couple times a day, only in the occasioanl case where I think one or both implants are slitghly too high after surgery and this to help gravity settle them down. In patients with well situated implants i do not necessarily recommend any massage of the impants and pocket.
Massaging breast post a breast augmentation surgery is physician dependant. I prefer my patients start gently massaging their breast at 2 weeks post surgery for 2-3 minutes at a time, 2-3 times a day.
