How Soon Should I Start Massaging After a Breast Augmentation?

Implants sitting high immediately after surgery is not uncommon. Of course, much of what you would be experiencing only 2 days after surgery is swelling, and this can at times be quite alarming.If you have significant concerns regarding potentially high riding implants and/or swelling then it is imperative you raise these issues with your surgeon immediately. They will know precisely what is normal for you and advise accordingly.However, as a general guideline, it would NOT be recommended to commence downward breast implant massage so soon after surgery. For starters, it would be far too painful to even consider doing this. Most importantly, the wounds are far to fresh and "immature" to be subject to any excessive pressure beyond that which the implants themselves cause. I inform all my patients that surgical wounds need to be shown the appropriate "respect" to allow them to heal properly. Of course, the very concept of breast "massaging" is highly debatable.As a general rule, once the breasts have fully softened and settled (3-6 months post-op), I do not recommend any formal breast massaging.However, I do believe it provides a vital part in the recovery process.Of course, "massaging" has several aspects to it and all patients in my clinic are provided the following general guidelines:- Firstly, all patients are advised to "massage/moisturise" the breast skin commencing prior to surgery and continuing for 3 months after surgery.- At 1 week post-op we advise all our patients to commence massaging down the cleavage line to help reduce the swelling and start to define the new cleavage. - At the three week post-op stage you are then instructed on how to commence massaging your breasts. This might vary slightly between patients depending on how they are sitting. This is designed to help soften and settle your breasts. - Also at the 3 week stage we advise all our patients to commence massaging the scar/incision which helps soften it release any tethering. Does long-term ongoing massaging reduce the future risk of capsular contracture? The answer is "probably not".However it does play a vital role in the initial softening and settling of the breasts and reminds patients that their new breasts are not "fragile" and that they can be handled normally.

I prefer that my patients wait a full week before they start messaging.  At the ne week appointment we remove their sutures and show them how to do the massage.  With earlier massage, the risk of hematoma is too high, the benefits are not significant and the pain would be too great.

It’s completely normal to feel that tight, high-on-the-chest sensation just a couple of days after breast augmentation—especially with 600cc high-profile implants placed under the muscle. Early on, this tightness is expected as your tissues adjust and the implants begin the “settling” process.

In terms of massage, protocols vary based on the surgeon’s technique and implant type. Some surgeons recommend starting gentle implant massage around 1–2 weeks post-op to help maintain softness and promote settling, while others may advise waiting longer—or not massaging at all—depending on surgical preference and implant characteristics.

At just 2 days post-op, your tissues are still healing and delicate. Massaging this early could potentially disrupt the healing process or irritate the implant pocket. I would strongly recommend holding off on any self-directed massage until you receive clear guidance from your surgeon at your first post-op visit.

That annoying sensation of fullness and tightness will gradually improve over the coming weeks as swelling decreases and the implants begin to drop into a more natural position—so patience here is key. In short: avoid massage for now, keep following your surgeon’s specific post-op instructions, and bring up your concerns at your follow-up appointment so they can tailor advice based on your healing progress.

Hello there, this is a great question. As long as it is comfortable, you can begin some light massages to the implant which will keep them soft and will not cause any damage. Your plastic surgeons should be able to teach you appropriate techniques following your augmentation.

It seems like a lot of answers on real self have stated that breast massage is a waste of time, however I disagree.
While it is unproven (other than anecdotal reports) in preventing capsular contracture, I do feel breast massage helps keep the upper breast capsule open and can gently "massage" the breasts into a more ideal position during the first few weeks. This is important in helping to prevent that sharp "step off" that you see after some breast augmentations. 

I start my patients on breast massage at the 1 week visit. 3 reps 3x per day. If the implants need to be moved in a certain direction, I have them focus on that area
It is best you discuss with your surgeon as each of us will have different reasons for what we do.
Best,
Dr. Richland

Different surgeons have different instructions after breast augmentation. My recommendation to my patients is not to massage the breasts. There aren't proven benefits from this activity, however, I prefer for patients to do soft stretching with their arms after two weeks, progressively increasing after six weeks.