When should I start massaging after breast augmentation?

Massage of the implants is determined by the implanting physician.  It is best to discuss your concerns with your doctor and see if he/she would recommend massage at this time.  Each physician has their own specific post-op instructions which may be different for each patient depending on the type of surgery done.  

Massage, while not harmful, has never been scientifically shown to lower the incidence of capsular contracture. Every doctor has a different philosophy and may even recommend different massage protocols to different patients because of differences in their tissue characteristics. Follow your surgeon's advice. At this point in your recovery, it is normal for your breast to still be tight.

Thank you for sharing your question and congratulations on your surgery!  Though there are differing thoughts on implant displacement exercises I do not recommend them to my patients as they can be painful in the early recovery period, and they have not been shown to be of benefit in preventing capsular contracture.  In most instances I find muscle relaxants and time to be the best treatment for chest tightness.  Hope this helps.