What a great question! I have been asked this question at least three times per week. The answer to your question depends on where the incision is made - peri areolar, inframammary or transaxillary, whether the implant is above or below the muscle, also whether this was a primary or secondary procedure. If you were my patient and I placed your implant through your armpit under your muscle, I would think it appropriate to lift small babies after 5 days. As to when you can return to work with heavy lifting, somewhere between 10 days to 3 weeks, depending on the variables above and what you consider heavy lifting. With reference to drainage tubes, some surgeons use them and some don't. I happen to belong to the group of plastic surgeons that use drainage tubes known as Jackson-Pratt drains. I believe the #1 cause of hard breasts after a breast augmentation is blood around an implant. This blood is a perfect culture media for bacteria. Non-pathogenic bacteria get into the pocket no matter how careful the plastic surgeon is, no matter how much antibacterial wash is used, and no matter how careful you are changing to sterile gloves and using the Kellar funnel, Still some non-pathogenic bacteria get in, and if there is blood present, they will multiply at a very rapid rate. If there is any blood in the pocket. I believe that levaging the pocket just before the drain is placed will allow the last little bit of blood to be pulled into the drain, decreasing the red blood cells present, and therefore decreasing the chance of ultimate capsular contracture. I normally leave the drains in only 24 hours except for certain circumstances such as a total capsulectomy, then I normally leave my drains in for 3 days. I believe some surgeons feel that no drainage tubes are safer because they historically leave drainage tubes in too long. I believe if drainage tubes are removed before 72 hours, the benefits far outweigh the potential negative results.