How long do I need to wear chest binder after explant 18 days ago? (photos)

Question

I had explant/capsulectomy 18 days ago of 450cc silicone implants, under the muscle. I was an A prior to surgery. I am wearing a chest binder (really an abdominal binder) and it is really uncomfortable. I am sleeping in a compression vest at night, but feel the vest does not offer enough support for the day. How long will I need to wear this? My doctor told me months, but I cannot even imagine that long! Are there any other options besides the binder?

Donovan Rosas, MD · Answer

Post op protocols will vary from surgeon to surgeon. Your best resource for guidance is your surgeon.That being said, most recommend some form of compression or support garment for 6-8 weeks. The goal of compression to eliminate dead space and facilitate adherence of the tissue layers. Post explantation and capsulectomy patients will have a tendency to collect fluid in the space once occupied by the implant. Drains and compression can help mitigate this risk.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donald R. Revis Jr, MD · Answer

Good morning!After En Bloc Capsulectomy / Explant, I have my patients wear a tight compression bra, not a binder, for 12 weeks, 24/7. In this manner I prevent seroma formation and get the skin to "shrink back down" to its previous size and shape!

Kenneth Hughes, MD · Answer

Because PSs differ in their post-operative protocols, I recommend that you follow those of the surgeon who performed your breast explant/capsulectomy.  Some PSs will recommend wearing a sports bra for about six weeks, starting immediately after surgery.  Address your concerns with your PS who can possibly recommend a more comfortable garment.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  For most of my patients I only ask that they wear the garment for 2 weeks time but each practitioner will have their own specific recommendations. I would voice your concerns to your surgeon to see if your time can be reduced, or an alternative garment can be recommended.

Camille Cash, MD · Answer

Your surgeon is your best resource for how long to wear your compression garment, as opinions vary.  However there are many types of compression garments on the market.  I encourage you to discuss your comfort concerns with your surgeon.  It may be that a sports bra or some other type of compression can be used during your recovery.

How long do I need to wear chest binder after explant 18 days ago? (photos)

Answers (5)