i'm 2 weeks post op, 270cc saline implants (behind the muscle) with incisions beneath crease of bust. i've tried on an under-wired push up bra and experienced no pain, is it safe to wear these bras now? or will it affect the shape of my breasts? cause indentations?
Why Can't I Wear Under-wired Bras After Breast Augmentation?
Doctor Answers 18
I use underwire bras as the surgical "dressing"!
I've used underwire bras as part of the surgical dressing for over 20 years without any problems. In other words, I purposely place the patient in an underwire immediately at the conclusion of the surgery- literally in the OR over the guaze dressing- and recommend this bra for 4 weeks. At that time the swelling has usually resolved and the patient can go bra shopping for the best fitting bras for her new shape. In my opinion, the underwire helps define the inframammary crease and helps with the position of the implant. The classical thinking of postponing their use has always puzzled me and I have never had an issue becaue of this. To the contrary, rather than taping the skin or using a superior strap, the underwire handles these jobs very well.
Bra with wire after augmentation
I usually have patients avoid under wire bras especially if they had an inframammary incision for at least 6-8 weeks. I would not want the wire rubbing on the incision and potentially causing problems.
Underwire Bra Usage Following Breast Augmentation
We generally avoid using underwire bras for six to eight weeks following breast augmentation for two reasons. With patients who have undergone submuscluar placement of implants the pectoralis major muscle may undergo spasm in the early postoperative period. This may force the implant in an upward direction and lead to malposition. When this situation arises, we utilize compression to force the implant in a downward direction. An underwire bra would have the opposite effect.
Another reason for avoiding an underwire bra in the immediate postoperative period is the potential for it to irritate a fresh surgical incision. An inframammary incision would be directly under the underwire and this might irritate the incision.
After six to eight weeks, wound healing and muscle spasm should no longer be an issue. In most breast augmentation patients it’s reasonable to resume the use of an underwire bra at this time.
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The type of bra worn after breast implant surgery depends on the the type of surgery performed
If the scar is in the breast fold or the implants are in a high position, an underwire may prevent the implants from naturally falling into a lower position .The underwire may also irritate the scar
However with a circumareolar incision an underwire bra may certainly be worn
If the inplants are low, or a double bubble deformity has been corrected ,an underwire bra in fact is often advantageous
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This information is for general education only and is not a substitute for a consultation with a plastic surgeon certified by the American Board of Plastic Surgery.
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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.