Should I reconsider breast implants?

Question

I will be launching my online fitness brand in 2024. I’ve scheduled a consultation for next month, January. I do yoga, HIIT, and circuit training with light weights (45 lbs.) I’m concerned of the recovery time, “bottoming out” and if breast implants would affect my athletic performance. implants migrating out of the pocket during exercising are also a concern. Are these complications most likely to happen to an active person? Should I reconsider surgery due to my lifestyle? 24 Y/O, 32A, 5’6

Daniel Barrett, MD · Answer

Dear Gatita0,
it is possible to do breast augmentation on active person without complications. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Following breast augmentation, you’ll need to limit physical activity until you’ve recovered. You’ll most likely need to avoid all upper body exercises for at least a month or so, and then continue to limit such activities for a little while longer depending on how your recovery is going. Once you’ve recovered, through, you should be able to resume all physical activities without issue.

Carlos Marciales, MD · Answer

Hello, everything you describe are risks that can occur with implants, in active people or people who do not exercise at all, if you want to have a fuller neckline, and feel better about how your clothing brand looks, definitely wear the implants.

Gerald Minniti, MD, FACS · Answer

Your lifestyle does not preclude getting breast implants and having a complication free result for years. The most important time is the first three months while the capsule is forming around your implants. During that period, high intensity chest work should be limited. With regards to complications or implant migration, I think a more important factor than lifestyle is implant selection. There is a self-defeating psychology among prospective implant patients to 'go big or go home'. It springs from an erroneous concept that it's a one and done process. It's not. Breast implants will require future surgeries regardless of outcome (but NOT necessarily every ten years). Go get your implants, but don't be greedy.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I advise my patients to wait 6 weeks before going back to this activity. Start easy and give yourself 2 weeks to get back to full speed. I have a couple of triple crown body builders and several kickboxers who had no problems after getting breast implants.  Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

Breast implants are not lifetime devices. They can have complications and will have complications the longer you have them. When implants are placed in front of the muscle, it often devascularizes the breast tissue and may injure the nerves to the nipples resulting in loss of sensation to the nipples. It also has a high risk of capsular contracture. When placed in the retro-pectoral position (behind the muscle), implants can extrude inferiorly and laterally. Unfortunately, you have not provided photographs.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Derek Fletcher, MD · Answer

A well selected implant that respects your breast footprint dimensions and tissue type can provide decades of beautiful shape.  Planning and implant selection are key.

Camille Cash, MD · Answer

Patients are able to return to an active lifestyle once they have fully healed from surgery.  There are typically lifting restrictions in place for approximately six weeks, though this can vary.  Your board certified plastic surgeon is your personal expert in helping you select the right implant to fit your body as well as your lifestyle.

Connie Hiers, MD, FACS · Answer

You can get implants, however, I would avoid the large heavy ones which have a much higher chance of bottoming out and stretching your own tissue quite thinly.  Implants in front of the muscle will not be compressed to the sides, but the edges may be more noticeable.

Richard R. Orr, MD · Answer

Those are all valid questions.  I have been doing breast implants for 32 years.  I have many body builders and gym people who come to me.  I had a woman ranked in the top 10 power lifters came in for breast implants a couple of years ago.  I have had several professional athletes.  I see MUCH more bottoming out and implants sliding out of the pockets with smooth implants above the muscle.  I am in the minority here, but, done right, textured implants under the muscle work wonderfully and stay in position very well.  I am now seeing my body builders and weight people asking for them under the muscle because they look so much more natural and stay more natural in their fellow body builders.  My own sister-in-law is a personal trainer and owns her own gym.  She had me place textured implants under the muscle and loves them!! 
Textured implants have their issues.  I have found them to be far less of an issue than with the smooth implants.  Many doctors use smooth implants only to keep their costs down, and therefore, have more patients come in the door.  I guess I am more interested in quality than quantity.  
If you came to me, we would address all those issues and I would be comfortable with textured implants below the muscle in you!
Good luck!!

Should I reconsider breast implants?

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