A cup, 425cc silicone, under muscle - no surgical bra after breast augmentation?

i personally ask my patients to wear a bra for a month following the surgery. However, I am not aware of any scientific controlled studies proving the benefits of this and would therefore not criticize surgeons who don't have this in their protocol.

While using a surgical bra is logical, there is not specific data that says that using a surgical bra postoperatively prevents lateral displacement of the implant or guarantees good results. If his surgeon has good results and has been doing breast augmentation surgery for 27 years, I would trust their expertise and experience.

Thank you for your question. I feel obligated to answer this question. That makes absolutely no sense. Gravity is always working. A large portion of my practice is dedicated to revision breast surgery. One of the most common problems I see is lateral malposition of implants-breast lying to the side. I believe that one of the major causes for this is not wearing a bra at nighttime. I would choose a different surgeon.

Dear mddid,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question. Each surgeon has their own postoperative protocol and I would be sure you talk thoroughly through it with his office. There are many surgeons who do not advocate a bra after an augmentation.

I recommend my patients use a surgical bra during recovery. This helps to provide support to healing tissues and helps to control swelling. Each surgeon will have her/his own protocol.

Thanks for the question. That is really interesting. I sometimes tell patients to wear the bra only because it holds the dressing nicely over the incisions. I always tell patients to wear an upper breast strap. Basically, your surgeon isn't suggesting anything crazy but I feel patients are more comfortable in the bra in the first month after BA as the breasts are sore. I dont think it should be a deal breaker for you if you see his results and are satisfied. I suggest asking the surgeon to talk to one of his prior patients to see how they felt about the "no bra policy".

Every surgeon has their own post-operative instructions. There is no right or wrong, however, the vast majority of surgeon's use post-op compression following breast augmentation procedures. I actually suggest them immediately to reduce bleeding and swelling and delayed to allow the capsule (scar tissue) to form. I have patients were a bra with an ace bandage on top pushing down for 2 weeks, then a sports bra for another 2 weeks.
Best wishes.
Dr. Taranow

Every surgeon has his/her preference about bras and post operative instructions. Please discuss your concerns with your surgeon.

Honestly, it probably does not make a difference. However, I do think that in the first week it helps to alleviate some bruising and swelling. After that it is probably not necessary. I do also tell my patients that I do not want them in an underwire bra for at least three months because in the first three months everything is really about letting the implants settle down. Best of luck! Dr. Boschert Renaissance Plastic Surgery (23 years experience:)