I am a massage therapist and I want sub-muscular Breast Implants.

Question

I perform up to six consecutive hours of deep therapeutic massage. During my sessions I use planks and isometric push-up style holds a lot. I am very physical with my clients using rocking and stretching. I lift and push and pull very much about 30 hours a week. I plan on taking 5 weeks off of work but I am nervous about how strenuous I am on my pecs for the long term of my breast augmentation

Peter J. Capizzi, MD · Answer

I have used submuscular placement of implants for over 15 years and over 400 implants per year.  Bodybuilders, weightlifters, aerobics instructors, athletes, and others alike have undergone breast implants in my practice with excellent success.  First 5 weeks off is more than plenty of time to recover.  Submuscular placement of a textured implant (like that of Sientra) and shaped (which will give a more natural look and a one breast feel) will give you the longest lasting, best warrantied result available.  Of course you would need a consultation to determine what size and shape would be ideal for your body type and measurements.  Women after an augmentation in my practice can go back to working or working out within 48 hours.  With the kind of lifting exertion that you do it would be extended 1-2 weeks.  Good luck with an excellent procedure!

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question!   Your plan and desires certainly are reasonable.  Without an examination, it is difficult to give recommendations on the type of implant as well as placement.  Placement of the implant in the subfascial position may be an option for you and negate the issues with animation and discomfort.  However, if you choose to place them submuscular, affording yourself adequate recuperation as well as following restrictions postoperatively are important.  5 weeks should be adequate time and consideration for implants that will fit your breast width well and possibly for the cohesive, shaped implants should be entertained. Best wishes for a wonderful result!  Hope that this helps!

Kenneth Hughes, MD · Answer

As a bodybuilder, I get many athletic clients for breast augmentation.  I think your plan is reasonable.Kenneth Hughes, MDLos Angeles, CA

Curtis Wong, MD · Answer

work well... as long as you're okay with the muscle distortion you will feel/see when doing your massages.  And the implants all have warranties nowadays so it diminishes your financial risks in the long term.  The advantages of going under the muscle outweigh going above and if you choose to go above, consider the shaped implant.

Khashayar Mohebali, MD, FACS · Answer

The plan of taking 5 weeks off is a good one.  Also, I do advise patient who engage in a lot of exercises using the pectoralis muscle to consider sub-glandular placement of their implants to avoid the chance of dynamic animation defects of their implants. Something you should discuss with your plastic surgeon.

Hilton Becker, MD · Answer

I advise patients who are physically active to place their implants in the sub-fascial position. this will avoid the animation deformity  that can occur  with sub-muscular implants.

Remus Repta, MD · Answer

Adequate time from work and proper pocket creation will allow you to return to work as a massage therapist without any long term effects of your breast augmentation.  One other factor that may be beneficial is implant type.  Shaped silicone implants will probably be the most resilient to being pushed by the muscle activity.All the best,Dr Remus Repta

Shaun Parson, MD · Answer

Thank you so much for your email.  The short answer to your question is yes!  More specifically I think I would need to know what size implants you're considering? Also what size breast you currently have now?  If you're going for a larger size implant then there maybe more challenges with your job to place implants under the muscle. With standard size implants (under 400cc) and a five-week period of recovery I think that sounds like a very reasonable procedure to perform.  Hope this helps to give you some clarity with your question.

Tom J. Pousti, MD · Answer

Your plastic surgeon will always be your best resource when it comes to timing to return to specific activities.  Having said that, I think your plan of 5  weeks off of strenuous  massage therapy work, is a good one. In the long-term, you will be able to return to all types of  and strenuous activity without any worry about “long-term”  effects on your breast augmentation procedure. Best wishes; hopefully you will be very pleased with the procedure performed.

I am a massage therapist and I want sub-muscular Breast Implants.

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