Surgeon recommends a under wire bra immediately after breast augmentation. Is it safe?

Thank you for your question.  Though it is difficult to have a clear picture of your second question regarding avoiding a lift via augmentation alone without photos or an examination, your first question regarding use of underwire bras early after augmentation is very surgeon-specific.  If your incision is under the breast, most surgeons would want you to avoid underwire until the incision is healed (my protocol is 6 weeks).  For peri-areolar or transaxillary incisions, it probably does not really matter.  Some surgeons even recommend not wearing a bra at all, though most believe in early and late post-operative support (myself included).  If your breasts appear loose along the lower poles, it may be that your implants have not yet dropped into their final position.  Time, and sometimes massage or occasionally a support strap placed over the implants, will probably help.Always maintain close follow-up with your board-certified plastic surgeon, as minor problems are usually easy to fix early on with conservative measures and can usually avoid costly revision surgery in the future!