Sleeping after breast augmentation - If I can't sleep on my back am I at risk of serious complications?

Great question–I think sleep position plays a bigger role in healing the most people realize. After a breast augmentation the ideal position is typically on your back with your upper body slightly elevated. This helps to minimize swelling, reduce tension on incisions andsupport proper implant settling during early healing.
I recommend sleeping in a recliner or using a wedge pillow for the first 1 to 2 weeks. After that, side sleeping is usually fine as long as it is comfortable. It is best to avoid sleeping on your stomach for at least 6 weeks, since this position can shift the implants or put excessive pressure on the healing tissue.
That said, every patient and surgical plan is a little different, so it is a good idea to follow your specific postop instructions closely. Recovery protocols may vary based on factors like implant size, placement (under or over the muscle), and your natural tissue characteristics.
Dr. Brandon LambirisBoard-Certified Plastic Surgeon–Sarasota, FL

Every surgeon will vary in their post op recommendations.

I typically encourage patients to sleep elevated and supine (back) for 6 weeks post op. Once healed, these recommendations can be liberalized.

The goal is to allow for healing without undue pressure in one direction or another. The implants are placed in a pocket that was specifically dissected for them. Pressure can further dissect the pocket and allow for migration.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

For the first week, many woman find it most comfortable to sleep on their backs. Switching to side sleeping at any point should not affect the overall result of your augmentation. Good luck and sleep comfortably.