Hi, Thanks for posting your question. I am happy to try and help you. It is important to remember that a board certified plastic surgeon will be your best resource when it comes to an accurate assessment of your situation, and concerns. You have to know what kind of implant you have. Having said that, massaging of breast mounds after breast augmentation is indicated to either maintain the pocket that was created to place the breast implant into. The idea is that Smooth Round Implants (saline or silicone) will be able to move freely within the pocket and provide a more natural appearing, feeling and moving breast mound. The thought is that a full breast mound will have some natural movement in it with activity, and move in clothes and garments. So smooth round implants should be moved and moved often as tolerated by the patient in the early post op period. After roughly 30 days, the movement is less important because the pocket will have had the scar tissue heal the limits of the pocket. At that point, moving the implants can be done with a quick movement in the shower or wherever and can be done just once. Not a big deal at that point.The motions we recommend are to move the implants 'up, down and in'. This is a routine movement pattern. These are the three primary directions you want the have mobility. You really do not have to move implants outward because the contraction of the chest muscle will always push the implant 'down and out'. The only time we do not want any inward pushing is when there is a symmastia risk or concern. In those rare patients, we have them only push up and down. Textured shelled implants, round or anatomic shaped should not be moved because it completely contradicts the purpose that they were put in for. Which is to create a tight interface between the implant shell and the scar tissue pocket. The idea was that this would minimize capsular contracture. This is why most surgeons will not use textured shells. They are designed, in my opinion, to create a non-natural feeling breast mound that will hopefully not get a capsular contracture. Since the incidence of capsular contracture is so low in my practice, the cons of the textured shelled implants outweigh any theoretical benefit of those devices. Best wishes, Dr. Michael J. Brown Northern Virginia Plastic Surgeon