Massaging After Breast Augmentation

what massaging are you suppose to do after the augmenation or do just leave them alone?

Doctor Answers 13

Massaging after breast augmentation.

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I do feel that most implants placed under the muscle do get somewhat massaged just by their location but also feel like this process of massaging is so easy to perform and will not hurt anything so why not perform it to assure the best chance of reducing capsular contracture. As a plastic surgeon we want to do everything we can to decrease the risk of capsular contracture. So why would we not do everything we can especially when it is so easy to perform.

Birmingham Plastic Surgeon
4.8 out of 5 stars 334 reviews

Massage after Breast Augmentation

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I am a big advocate of breast massage.  I like to wait until the first postoperative visit to begin massage for three reasons.  
1.  I do not want excess tension on the fresh incision, which can cause wound healing problems
2.  Massage will increase soreness and I want to get patients off pain medication as quickly and safely as possible.
3.  Early massage can increase the risk of bleeding, which is the number 1 cause of capsular contracture/scar formation.

For this reason, I begin massage therapy at the first visit, which is 4-7 days postop.  I then establish a regimine of 3 minutes of massage 3 times a day for 3 months.  I recommend moving the breast up/down/left/right, then squeeze to minimize scar from all directions.

I do prefer a bra, especially in physically active patients, as I find it helps prevent the implant from dropping too much and causing implant malposition.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

Breast massage after augmentation

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Breast massage is done with smooth implants, not textured. I only use smooth implants and have my patients begin aggressive massage on the first postop visit which is the day after surgery. The massage does three things, it stretches the tissues to accommodate the implant, it keeps the pocket open that I have made at the time of surgery, and it helps reduce postop discomfort (although it is somewhat uncomfortable to do the massage the first few hours.)
Each plastic surgeon has different opinions and techniques regarding postop breast massage.

This information is for educational purposes only and is not a substitute for a consultation with a plastic surgeon certified by the American Board of Plastic Surgery.

How to do Breast Massage after Breast Augmentation

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Please see the below instructional video that our office has prepared for patients following breast augmentation and below link to post op instructions

Massage after Breast Augmentation

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Thank you for the question.

If you have had the procedure I would recommend that you follow your plastic surgeon's recommendations.  Most  likely he/she has recommended massage of the breast implants  which is felt by many plastic surgeons to be helpful in keeping the breast implant soft.  if you have questions about the  specific technique  your plastic surgeon recommends then address those with him/her during your next visit. Otherwise, I'm afraid you will be confused or overly anxious with online consultants' recommendations.

Best wishes.

Massage after breast augmentation

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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. You can repeat this several times a day.

Massaging After Breast Augmentation

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Massage after augmentation is only recommended for smooth implants and should not be done if you have had textured implants. The reason is to keep the pocket large and allow the implant to have some freedom of movement while the body forms a capsule of scar tissue around the implant. This is felt to help prevent contracture of that capsule down the road as well as keep the implant soft and mobile so it can move with the breast. The frequency of massage will depend by surgeon and may range anywhere from 2-10x per day. It would be best to ask your surgeon what they recommend.

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
4.9 out of 5 stars 40 reviews

Breast Massage After Augmentation

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Since the rate of capsular contracture at my practice is low after breast augmentation, I do not routinely advise massage. If you are instructed to do massage exercises, it would be a little later on in your recovery so that things can get a chance to settle and tissues are allowed to strengthen a bit. If your surgeon advises that you do massage, it's best to listen to them.

It is important to remember that a slow steady stretch is more effective than a quick jerky movement. Don't worry about injuring the implant, you cannot cause a rupture with these breast exercises.

  1. Press the breasts slowly and maximally inwards (towards your breast bone) and hold for 10 seconds, then release. Repeat 4 times.
  2. Press the breasts apart slowly and maximally outwards and hold for 10 seconds, then release. Repeat 4 times.
  3. Repeat for downward movement.
  4. Repeat for upward movement.
Perform these exercise 2 times per day after your breast augmentation procedure.

Massage after breast augmentation

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We advise our patients to begin breast massage 1 week after surgery.  The purpose of breast massage is to keep a thick capsule from forming around the breast implants.  It also helps the implants settle into their final position.  We have our patients massage 2 or 3 times daily for several months. 


Best Wishes,


Neil Zemmel, MD

Massaging after breast augmentation

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After undergoing breast augmentation surgery, massaging can begin after you have sutures are removed or when advised by your plastic surgeon. When massaging meet through the implant in horizontal and vertical directions and move the implant around in its pocket. Massage at least once a day for five minutes. The massage will not break the implant, as long as your not too aggressive. The reason why we have patients massage is to prevent capsular contracture.
Best regards,

Sam Speron, MD
Chicago Plastic Surgeon

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.