What kind of bra is best to buy after an explant?

Because PSs differ in their post-operative protocols, I recommend that you follow those of the PS who performed your breast explant.  Sports bras may be OK for the first 6 weeks or so.  I do not recommend underwire bras during this phase of recovery.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

I suggest that my patients use a tight, band-like sports bra after removing their implants to allow the skin to retract better.  I have them wear it day and night.  You need to follow the advice of your plastic surgeon regarding their personal preference since they are knowledgeable about your specific situation.

After explant alone, most women are dissatisfied because of the excess hanging skin and require a lift or fat transfer.  A compressive bra may help the skin recoil but the result may not be satisfactory.    Best Wishes,Gary Horndeski, M.D.

Dear ShirlsWhale,
Every surgeon has a preferred type of bra that they let their patients wear after surgery, as this would depend on various factors like the type of surgery performed. You should discuss your concerns with your plastic surgeon and follow his or her advice. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

There is no magic to the bra, but wearing a good quality post operative bra is important after implant removal because it will help support the breast tissue to minimize sagging as the tissue heals.  It also will help the fluid (seroma) that forms in the space where the implant was removed to resolve more quickly.  It also minimizes discomfort by keeping swelling down and some pressure on the scar.  Bras that are compressive and supportive but not tight are best.  Bras that hook or zip in the front are best.

The garment acts as a compressive force to minimize edema and fluid collections. So, I recommend a soft sports bra that extends onto the abdomen. This keeps tension and pressure off the incision and minimizes discomfort or incision healing issues. Certainly, avoid stiff or underwire type bras for 6 weeks. I don’t believe you should invest much in what you’re wearing unless you prefer this bra type.Best wishes. Dr. Spann

This question is best answered by your plastic surgeon as he/she is most familiar with your planned procedure.  Typically you will want something that is supportive with some compression, but not too restrictive.  The compression helps to prevent fluid build up in the cavity once occupied by the implants.

In my practice, patients wake up with a surgical bra in place. This surgical bra, although not attractive, is supportive and used for about one month after surgery (some of my patients have been known to burn the bra ASAP). Then, patients transition to a soft, form fitting sports bra.  Gentle compression may help with skin retraction as well as help avoid fluid accumulation.  Best wishes.

Try to find a comfortable bra that will put a little pressure on the breast tissue. I usually recommend a sports bra that has some shape to it, not just flat across. Be sure it is comfortable, as you will most likely be wearing it day and night for a while. Also, one that does not rub along the incision, if placed under the breast. Good luck with your explant. 

Dear Shirls,
Hello and thank you for your excellent question. I suggest that you ask for the recommendation of your operating surgeon, as he or she is most familiar with your case.  In general, you will want to wear a bra that provides strong compression to encourage maximal skin contraction. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Double Board Certified Plastic Surgeon