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Usually, for our patients, the vast majority have a smooth recovery, and can be back at the gym, doing sit-ups, at 3 weeks post-op (if they are so inclined!). You won't hurt anything at this stage, given normal, uncomplicated healing.
I usually recommend that patients wait 3 weeks before beginning aerobic and lower body weight training and 6 weeks before lifting anything. You may want to wait a couple more weeks before doing sit-ups. Please see your surgeon for their advice.
You should get clearance from your surgeon regarding resuming activities. For my patients I tell them that they can resume normal activities after two weeks, and strenuous exercise can be resumed after three to four weeks, any earlier than that can cause swelling and discomfort.
I personally think its okay to do situps and light core exercises within a few weeks of breast augmentation. I tell my patients to avoid lifting heavy weights at the gym for several weeks after augmentation.
Although I do allow some exercises to start by about 3 weeks after surgery, I am always working to do protected motion exercises from 3 to 6 weeks after breast augmentation. After 6 weeks i am generally very comfortable with all exercises. Each surgeon is a bit different so make sure you check with your surgeon as well.
Each surgeon has his or her guidelines for postoperative care. Generally, you can begin light activity 5 to 7 days post surgery. More strenuous activity can begin as soon as 3 to 6 weeks depending on how you are healing. Consult with your surgeon and follow his or her instruction as he or she knows the scope of the surgery and the specifics about you.
Generally, I allow my patients to do sit ups 1 month out from surgery but every patient is different in their recovery and so it is best to speak with your surgeon to make sure you are cleared to exercise.
Most women should be able to start doing sit-ups one month after having breast augmentations however, you should confirm that with your plastic surgeon before you start doing any kind of vigorous activity.
You should ask your surgeon what his/her recommendation is regarding doing sit-ups as he/she was the one (or will be the one) who operated on you. The recommendation that I provide my patients is to wait at least until 3 weeks after surgery. This will help minimize the risk of such complications as bleeding and the subsequent formation of a hematoma which often requires surgery to evacuate and does also increase the risk of the formation of capsular contracture (hardness developing around the implant).
At one month you can do modified sit ups. Cross your arms in front of your chest and isolate the ab muscles. Try not to put your hands behind your head.