400cc, HP, dual plane, textured, 6 months post-op & muscle squeezing sensation after yoga, is this normal?

What you describe sounds normal. It took me several months to get used to doing any chest exercises at all. I don’t think I tried anything like yoga or pushups for at least a year because it felt so weird. But once I got through the adjustment phase, I can do any activity I want.

With textured implants, they “stick” to your tissue a bit more and may make the sensation of muscle contraction more noticeable. I did have one patient who never felt comfortable doing chest workouts, but that is quite rare since most of my patients are able to get back to full activity, including yoga, tennis, and golf.

As long as you don’t see any change in shape or position and don’t have chronic discomfort, it’s not concerning for capsular contracture.

A squeezing sensation post operatively when returning to exercise sounds entirely normal.

Remember, your implants sit (at least partially) beneath your pectoralis major muscle. This runs from chest to shoulder and is engaged in upper body exercise (i.e. chest press/bench press).

I will typically caution against a return to exercise before 4 weeks. Once started a slow escalation over the following 2 weeks is best with a goal of reaching baseline by 6-8 weeks.

It is difficult to make a diagnosis of capsular contracture without an in-person exam. That being said, contracture rates are lower in submuscular/dual plane augmentation. 6 months is also very early.

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

Your tissues will naturally feel tight when you begin stretching after surgery. The question is whether or not this tightness is normal recovery or perhaps early capsular contracture (abnormally thickened scar tissue around the implant) . Check with your doc if it persists or gets worse.

Since you are just starting to exercise, you may have some soreness. However, I suggest being seen by your surgeon just to check and make sure there is no capsule contracture.

The sensations that you describe sound normal for someone returning to exercise after breast augmentation. Be sure to listen to your body and progress slowly to your previous routines. Rest the area if it seems you have overdone it. If you have persistent concerns, check with your surgeon.