Honestly what to expect after breast augmentation with kids?

Dear Ms. Amylynn86,Thank you for your questions.Every patients pain tolerance is different.  Pain is what limits most patients from returning to work or normal activity.
In my practice, 95% + of implants are placed under the pectoralis muscle. This is initially more painful then when implants placed on top of the muscle. Gentle technique and precise dissection limits the trauma to the muscle. I personally intraoperatively inject the muscle with long acting local anesthetic and offer a non narcotic pain pump that drips local anesthesia into the breast pocket for 3 days. There are several different brands (On-Q is a common one). With the use of the non narcotic pain pump patients usually return to work in 2-3 days in non physically demanding jobs. Without it 3-5 days is the norm.Every Plastic Surgeon has his/her SPECFIC instructions and would defer to yours. However here is mine. 
POSTOPERATIVE PROTOCOL: 
FIRST DAY1)icing the breasts2)start non narcotic (ibuprofen) and narcotic (percocette) for break through pain.  If muscle spasms start muscle rexlaors. 
SECOND DAY1)start implant displacement exercises as pain allows2)start "walking the wall with fingers" 3) displacement exercises:    5 x day    5 min    5 weeks     Until breast implant "seats"     THIRD DAY -Remove non narcotic pain pump-For those that do not have to use their upper body it is ok to return to work.-Allowed to use upper body muscles as long as pain tolerated for next 6 weeks-No high impact activities -Wean off all narcotics-Continue displacement exercises  "5,5, 5" until implants "seat"
THIRD DAY to 6 weeks-No high impact activities-Continue upper body  exercises as pain tolerated  -Back to work for those that require upper body use when no pain doing such activities.-Continue displacement exercises  "5,5, 5" until implants "seat"
BEYOND 6 weeks-no restrictions upper body (even if some pain)-may start high impact exercises-Continue displacement exercises  "5,5, 5" until implants "seat"-after implants seat then displacement exercises for 30 seconds 3 x day for life 
I trust you have chosen a Plastic Surgeon who is a experienced and Certified by the American Board of Plastic Surgery. In addition ideally he/she is a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes and success,
R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

My patient generally return to work after 2-3 days.  I want them up and about right after surgery, perhaps going out to dinner that night.  I do ask them to take it easy for the first 2 weeks after surgery, which means no strenuous exercise and not lifting anything more than they can at the elbow.At 4 weeks time they are released to full activity including exercise.As far as lifting a 2 year old, you really have to be careful for the first couple of weeks.  I would not recommend to any of my patients to lean into a crib or bending down to lift up a 2 year old during the first 2 weeks.Every surgeon has their own recovery plan.  Hope that helps.

I advise my patients that they can lift their 2-year-old to transfer from high chair, car seat, and crib by the third day after breast augmentation surgery (ex. on Saturday after surgery the previous Wednesday). They could, if comfortable, carry their child all day by the end of the second week. Hope this information is helpful and good luck to you. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."