I have read alot about sleeping upright, but am not convinced of its merits. I am 2 weeks post-op with 325cc silicone anatomical dual-planes. Its hard to sleep upright, but if it helps them to drop faster, or effects the final result of my breasts, I will persevere. My PS gave me thumbs up to sleep on my side or back. I am curious about the general consensus on this topic. Does sleeping upright have short or long term benefits? Thank you!
Will Sleeping Upright Help my Breasts Drop?
Doctor Answers 17
Sleep upright and dropping implants
I doubt is sleeping upright will help much. You may consider wearing a strap across the upper pole of your breast to provide some constant pressure to help the pocket stretch out and maybe drop a little bit. I would not ruin your nights of sleep. If your implants remain too tight and/or high you may end up needing an open release of the lower pocket which is usually a pretty quick procedure with a fast recovery.
Helping your breast implants to drop.
If your PS surgeon advised you to sleep elevated, follow his instructions. Sleeping upright may help with swelling as well.
SEE VIDEO with EXERCISES BELOW. This video illustrates some of the exercises as well as upper pole band to promote descent of the breast implants. I sometimes encourage patients to do this twice or three times as frequently on the higher side
Sleeping position after breast implant surgery
Sleeping upright for the first few days after surgery will help decrease some of the swelling, but will not make the implants "drop" faster. You can sleep on your side after about a week or so but should avoid stomach sleeping for a few months. The implants will settle or "drop" naturally over time provided your surgeon created an adequate pocket or space for the implants. This whole process may take up to three months for the implants to soften and settle into their final natural position/shape.
Please speak with your board certified plastic surgeon for more detailed information.
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Sleeping Upright and Breast Implant Position
I believe sleeping upright has no merit on helping implants to settle. In my humble opinion I believe that when you place all implants that when I leave the OR the final shape should have been obtained. I will say in my experience that saline implants will "ride high and settle" over time but silicone implants do not. There is a smaller margin for error with silicone implants.
Implants dropping and sleep position.
The implants themselves do not actually "drop." What occurs is a slow relaxation of the inferior breast tissue to accommodate the increase in weight from above. Sleeping upright is unlikely to do much to hasten this process. It is simply more likely to cause you to lose sleep. What is more important in your case is proper support of the implants until the capsules form. With anatomic implants, it is very important to keep the position of the implants stable until the scar tissue forms so that the implants do not shift. Your plastic surgeon has likely given you very specific instructions on what bras to wear and exercises/activities to avoid. You should strictly follow these instructions. However, sleeping upright is more of an internet/chat room myth than actual science.
Sleeping Upright to "Drop" Breast Implants - Doing the Zombie
Regarding: "Will Sleeping Upright Help my Breasts Drop?
I have read alot about sleeping upright, but am not convinced of its merits. I am 2 weeks post-op with 325cc silicone anatomical dual-planes. Its hard to sleep upright, but if it helps them to drop faster, or effects the final result of my breasts, I will persevere. My PS gave me thumbs up to sleep on my side or back. I am curious about the general consensus on this topic. Does sleeping upright have short or long term benefits? Thank you!"
There is NO EVIDENCE that sleeping upright will help overly elevated breast implants slide into their proper location. If this "logic" had any footing in science, one of my more enterprising colleagues would have long ago capitalize on the concept and charge too much money for a morning ritual of "breast implant lowering" jumping jacks. After all, if having your torso elevated a few degrees during sleep can do it, why not try jumping up an down to REALLY shake those implants into falling down? With the current vampire / zombie craze I'm sure a catchy name can be found.
The fact is that if the pockets were created well during surgery and implants were placed well in these pockets (so that the nipple complex overlapped the highest point of the implant) and this WAS verified by having sat you up, the implants SHOULD come down with minimal effort as the inflammation subsided. At 2 weeks, you may still have an elevation explicable by tissue swelling which should resolve by 6-8 weeks.
Personally, sleeping erect to "drop" your implants makes no sense for me and is a bit zombieish.
Dr. Peter Aldea
You need to sleep well while you recover
Breast implant dropping
Breast implants post op really do not "drop" physically, although we all use the term. What actually happens is that the tissue around the breasts relax with time and as this happens, the lower potion of the breast fills out. Sleeping upright will just make you sleepy, tired and cranky.
There is nothing I know of that will significantly speed this process
Sleeping On Your Back Vs On Your Side Post-Op
Disclaimer: Every surgeon has different post-operative instructions, or preferences, regarding post-operative care. You should listen to your own surgeon.
It is standard protocol for a patient to sleep on their back with their head slightly elevated after surgery. This will help with the swelling. But it is also only for the first few days.
If you really want to sleep on your side and feel comfortable doing so, it’s ok. Feeling comfortable is the key here, and the timing is different from patient to patient.
There is no long term benefit to how you sleep. It has more to do with managing the initial states of the recovery period.
Don't sacrifice your sleep
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.