Pushups and chest press after Breast Augmentation.

After breast augmentation I limit my patient's chest exercise for six weeks and thereafter I do not limit them on any particular exercises.I think the main reason why you get conflicting information is because of fears of having the implants fall out to the sides because of the muscle contraction.  I do not feel that the muscle contraction is the reason why implants fall out to the side -- I feel that most of the time it is because the implant diameter is too wide for the body.As long as you see a surgeon that is conservative with the implant diameter choice (as I am) then you should be OK.For other helpful information regarding breast augmentation you can download my free breast augmentation planner at aBetterBreast.com

In general, I believe breast implant placed under the muscle is the preferred pocket location for any breast implant for many reasons (less visible, better cleavage, more natural, better shape, better for mammograms, less capsular contraction).  Over development of the pectoralis muscle theoretically can cause an enhanced "animation deformity" and more importantly a higher chance of implant malposition because of the pull of the muscle.  Therefore, for this reason, I do not encourage my patients to do push ups and chest press after breast augmentation (subpectoral); however, I do not restrict them either.  That being said, most of my patients that do cross-fit and other heavy work outs have not had any problems.  I do think it takes at least 6 weeks after a breast augmentation to effectively do push ups without discomfort though.  If push ups and chest press are that important to you then you may also consider subglandular (on top of the muscle) breast implants with form stable cohesive anatomic gel implants.  I hope this helps!

There are no studies to suggest that chest work after a breast augmentation (even in the submuscular location) is harmful.  In my nearly 10,000 implants I've performed, I've never restricted patients' ability to exercise their chest and instead encourage a fit, healthy lifestyle.  Our results have been uniformly satisfying to patients and so we continue on in our recommendations.  If it hasn't been a problem in my nearly 20 years of surgical experience, I feel pretty safe with this policy.You will need to restrict your upper body activities for at least 4 weeks before slowly reintroducing them.  Although you may find that you have lost some flexibiliy and strength, it has been well shown in studies that these elements of your fitness reliably returns to pre-surgical levels.Best of luck.

Submuscular implants do not prevent your ability to perform push-ups but it will feel unusual and akward when you first try them about 6 weeks out. Be careful not to fall on your face on the first try. Certain techniques that release more of the muscle attachments or if there was and overdissection medially could result in less muscle strength but usually this is minimal. Everyone who has a sub muscular placement will have some animation of their implant. Some more than others. If your implant moves to the side a lot when you flex then overtime your implants may shift laterally especially seen when laying flat.

If the breast implants are placed behind the muscle, you must avoid chest excercises indefinitely. The muscle covers the implant and any chest excercises like pushups and chest presses can move the muscle.  Constant contraction of the muscle can push the implant out of place and you´ll need to have another surgery.