Patients that have their breast implants placed underneath the pectoralis muscle can typically begin heavier lifting and strenuous activity at approximately 4-6 weeks but this time frame varies for each patient. It is a good idea that you are seeing your plastic surgeon as he/she is best qualified to to help you make this decision.
I would recommend following your own surgeon's advice regarding safe return to work, and fortunately you already have an appointment. Most of my patients return to work after about one week, but on modified duties. It can take 4-6 weeks before they are ready to return to a job that involves a very fast pace or heavy lifting.
In my practice it would be 4 weeks until full unrestricted activity, before that int you are limited to lifting less than 10 lbs.
I typically tell patients to slowly start increasing their activities starting at 2 weeks post op. They can progress to full unrestricted activity at 6-8 weeks. Follow your surgeon's advice.
For my patients, the usual course is limited exertion for 3-4 weeks, then light aerobics is permitted, and then at 6-8 weeks, a patient can perform heavy lifting.
Healing varies person to person. Generally patients can return to lifting at about 6 weeks after surgery. You may be sore, so it is best to work up to your normal activity level gradually. Your surgeon will give you the best advice on this as he/she is most familiar with the details of your surgery.
Thank you for the question. Part of your time frame for recover and return to activities depends on your surgery details and post operative course. Your plastic surgeon can advise you best on what they think would be reasonable for you to do, and things to avoid.
Typically, most patients by 4 weeks are ready to return to full activities, including exercise and strenuous work. That being said, often a gradual return can allow for an easier transition, as you have not been doing those same activities for the past month. Heavy lifting activities that really involve engaging the chest muscles can take longer than 4 weeks to return comfortably too. It sounds like you might have done just a bit too much too soon, and should start to feel more comfortable with those activities over the next few weeks.
I understand your concern. I usually advise my patients to return to vigorous workout or physical job after 4 weeks. Those are fairly large implants under your muscle, so it takes time for the muscle and skin to stretch out. By 6 months they will feel like your very own and you will look great!