Smooth Implants Require Massage for Life?

In my opinion, you don't need to massage your breasts for the rest of your life just because you chose smooth ones. In fact, I don't even recommend massage for most of my patients, even right after their surgery! You can achieve beautiful, natural looking results with smooth implants or textured - it is the skill of the surgeon that counts more. 

Thank you for your question.If you find that your breast is tight and particularly if you went up a few cup sizes, then breast massage will help your implants settle. I typically recommend waiting a week as it sooner may be too uncomfortable. However, if you can tolerate it earlier, then you can do so. I also recommend lymphatic massage as this helps to reduce swelling much faster in the breast.As far as how to massage, I recommend displacing the implant in all four directions (up, down, left and right). Example, pinch the breast on the top to displace the implant downwards. For the lymphatic massage, it is much more of a light gentle touch. We often recommend a massage therapist to help with this or we show patients how to do this at home. You can repeat this several times a day for the first several months.

The care for all types of breast implants above or below the pectoral muscle, in my professional experience, is to do massage at least for the first year once or twice a day methodically. After that, it really does not matter significantly. In primary breast augmentation, I do use Smooth saline or silicone implants in a vast majority of cosmetic breast augmentation patients because they look and feel more natural when placed beneath the muscle.

Firstly, when you have a plastic surgeon you trust then you should go with his or her advice, but in my opinion there is no benefit to implant massage in most cases. A scar capsule normally forms around the implant, and it may be helpful to massage during the first couple of weeks as the scar capsule forms, but there is absolutely no evidence that it prevents capsular contracture. We use smooth implants routinely because they often feel softer and move more like a natural breast but I don't advise massage. It's more a matter of opinion than science.

See VIDEO BELOW for instruction.
Breast massage is advised to maintain the immplant pocket, suppleness of the augmented breast and minimize capsular contracture. They may be discouraged in patients with excessively lax implanted breasts. See VIDEO BELOW for instruction.