Fitness Instructor and Want Implants

Question

I am a fitness instructor (kick boxing, Step, weights) and I am seeking breast implants.  How long do I need to refrain from teaching after surgery?  Do I need to take extra precautions?

Otto Joseph Placik, MD · Answer

This depends on the intensity and nature of your workouts as well as the location of the implants (over or under the muscle). In the latter instance, you should avoid pectoralis strengthening exercises that tend to displace the implant s laterally (outwards). I genrally recommend that patients avoid wide stance push ups, butterflies, and becnch press.

Jerome Edelstein, MD · Answer

You may want to consider waiting about 6 weeks after your surgery before resuming work. If you aren't actively taking the class and are more just talking, then three weeks is probably a good timeframe. However, you should ask your surgeon for their advice.

Ricardo A. Meade, MD · Answer

After breast augmentation, I recommend patients wait for one week to start light walking so as to keep their routine needs fullfilled. Actual straining is not recommended for 6 weeks after surgery. In the case of some body builders the implant may be placed on top of the muscle (these circumstances are quite rare) in which case resumption of exercising can be done sooner. My best suggestion is that if in doubt, take 6 weeks off. There's nothing more regrettable than a hematoma soon after surgery from increasing your blood pressure just a little bit too much, or developing capsular contracture in the first few years after surgery for a hematoma that was too small to be noticed but not too small to trigger this hypothetical reaction.
Best Wishes,
DoctorMeade

Farbod Esmailian, MD · Answer

I generally have my patients resume full activity at 4 weeks times.  This is really doctor dependant and you will see that different surgeons have different ideas as to when it is safe to proceed.
Good luck.

Jeffrey E. Schreiber, MD, FACS · Answer

Hi Mary1972 - I would recommend waiting 2 weeks before restarting your intense workouts. Also, because you frequently use your chest during exercise you may want to consider getting the implants over the pectoralis muscles versus underneath as you will be able to see the implants move as your flex your pecs. Good luck!

Richard Baxter, MD · Answer

Your return to athletic activity after augmentation is an important question and is affected by several factors. Most imprtant of these is the choice to go under the muscle. 
Since athletic women tend to be thin, muscle coverage is important but there are potential drawbacks. One of these is a potential for what are called animation deformities, since with the standard dual plane technique the pectoral muscle is cut off of its natural attachment to the ribs. 
A variation of the subfascial technique may be an option worth considering.

Steven Teitelbaum, MD · Answer

Highly fit patients recover and heal very quickly.
However, you still have to give everything a chance to heal strongly on the inside so that you do not develop any complications after surgery.
My patients can go out to dinner the night of surgery, take a shower the night of surgery, and move their hands over their head the night of surgery. However, I want them to wait three weeks before actually working out themselves.  But depending upon the nature of what they do with their clients, some even go back to work as trainers in a week.
The bottom line is that I individualize it to each patient.
For you, you must listen to what your surgeon suggests.  But if recover is important to you, find a surgeon experienced with a 24 hr recovery as that will help you to get back to work more quickly and comfortably.

Scott C. Sattler, MD, FACS · Answer

I think its reasonable to return to the type of dynamic exercise that you do (kick boxing etc) after a 3-4 week rest. You'll be uncomfortable doing aerobic work outs (stuff that involves shifting your weight ie bouncing) for a few weeks. Once you feel comfortable doing this stuff- you can resume. Listen to your body and use common sense.
Light walking exercise and tread-mill or elliptical machine work outs should not be a problem, even after a few days post-op.
I tell my Breast augmentation patient to avoid doing isolating pectoral exercises (bench press, push-ups etc) for 8 weeks post-op. Why? Because implants placed behind the muscle will shift in position significantly with these exercises, and its going to be uncomfortable.
These recommendations are based on my own observations, and there is no real science behind them. Other surgeons may have differing opinions.

Kris M. Reddy, MD, FACS · Answer

Each surgeon has his or her guidelines for postoperative care. Typically, you can resume light activities 3 to 5 days post breast augmentation. More strenuous activities can begin 3 to 6 weeks post surgery. Consult with your surgeon as he or she knows the specifics about you and the scope of the surgery.

Tom J. Pousti, MD · Answer

Thank you for your question.

	You can return to "supervising" 1 week after surgery.   After 4-6 weeks, you can probably return but would need to still avoid contact and weight lifting until 3-4 months out from surgery.  Patients start with lower body workouts and then proceed with upper body workouts after they get the "green light" from their surgeon - each patient is different with how their recovery process.

	I hope this helps.

Fitness Instructor and Want Implants

Answers (19)

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