Honestly what to expect after breast augmentation with kids?

Question

I have had 2 consultation and one more this week . My concern is recovery . I have done lots of reading online and answers vary so much . Some people almost describe bed rest while others say they were back to routine ( minus gym ) in a few days . I have 3 kids ( 2 teenagers and a 2 yr old ) my husband will take a few days to help after . My older kids can help with lifting toddler sometimes. But when no one is around can I really not lift more than 5 lbs for 3 weeks

Farbod Esmailian, MD · Answer

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.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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."

Curtis Wong, MD · Answer

are very simple... nothing strenuous and nothing bouncy.  If lifting 5 lbs is easy, it should be not be a problem.  And in the worst case scenario, you have to grab your child to prevent an injury, a hematoma could develop and you would have to return to the OR at additional costs.  But in most scenarios, you will do fine.   Surgeons provide post-op restrictions to prevent complications from such activities so if your surgeon is super restrictive, you can always find another that would allow you to do more.  And bed rest after augmentation???  Sorry, I've never heard of that restriction and my patients are encouraged to be up and about after surgery as it prevents problems.

Arun Rao, MD · Answer

Thank you for your question. Recovery after any surgery is tricky with kids.I always tell my patients that they should try and minimize any nonessential lifting. If there is someone else around that can do the lifting let them help. There will be times when you just have no choice, but to carry your two year old. Best of luck with surgery.

Tom J. Pousti, MD · Answer

Thank you for the question. Your plastic surgeon will always be your best resource when it comes to returning to specific occupation/activities. He/she knows exactly what was done, how you are progressing (every patient has a different experience after breast surgery), whether or not you have experienced any complications or setbacks, and exactly what type of activities you wish to return to.A period of bed rest is not necessary after breast augmentation surgery.  Most patients are "over the hump" of most discomfort somewhere between two and four days after the procedure.  It is during these initial days that patients benefit from the most help at home, rest, and the use of pain medication and muscle relaxants. Careful attention to good hydration/nutrition, anti nausea measures (if needed),  and working towards return of normal bowel movements are  important considerations during this time period.On average, I ask patients to take off 5 days to 1 week after breast augmentation surgery (desk job). For some professions, I may suggest a going back to work with a lighter workload (or in your case, having someone else do the lifting etc.. that would involve the pectoralis muscle). Ideally, I ask patients not to lift anything heavy or do things ( like pulling/pushing) that contract the pectoralis musle for at least 3 weeks. Patients are able to return to running and heavier lifting 4 to 6 weeks after surgery.  I ask my patients to stay away from "pectorals major" activity such as push-ups and bench press for several months.Most of my patients feel comfortable lifting 10 pounds, using good body mechanics (elbows by their sides and using legs…) after the first week post.  This is the period of time I ask patients with children to have a lot of help around them.Ultimately, it will be important for you to “listen to your body”, apply common sense, and return to activities/exercises in a gradual fashion. Best wishes.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You can lift after breast augmentation but not with you arms; instead you should be taught to lift learning to bend your legs, grab them, and then stand up. I would take a week off though.

Edward J. Domanskis, MD (in memoriam) · Answer

My patients can usually resume normal activities within a couple of days and usually full activity with no restrictions after two weeks.

Robert A. Hardesty, MD, FACS - Account Suspended · Answer

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

Honestly what to expect after breast augmentation with kids?

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