Post Op care for softest results with gummy bear / highly cohesive implants?

Gummy bear implants have a firm gel in order to hold a specific shape. They are textured so that they will stick in place in order to prevent them from rotating. Massage will interfere with this and there is no good evidence that it prevents capsular contracture anyway. The scar capsule does not make them feel firmer unless you have a contracture.

Patients will feel sore and tired during the first 48 to 72 hours following surgery. During these first few days, you may engage in light activities, but must refrain from lifting or raising  your arms above your head.Swelling and bruising will subside during the first week after surgery and can be managed by pain medication. The initial surgical tapes will be removed a few weeks after surgery during a post operative visit. Revision patients typically may return to a work a few days after surgery (only a light workload during the first two weeks). Showers are permitted on post op day #3 if there are no drains.Scars will progressively fade throughout the first year following surgery and products may be applied a fews later but only with your surgeon's permission.

Given your concerns regarding "firmness", make sure that you feel the different breast implant options available to you.  In my opinion, the true "gummy bear" breast implants are relatively firm;  I very rarely use them in my practice.  Otherwise, you are correct in that different practices will have different "protocols"; best to follow your chosen plastic surgeon's recommendations. Best wishes.