Regular massage of your breasts in the first 3 months after Breast Augmentation surgery, and less frequently up to 6 to 12 months, helps to move your implants into place, keep them naturally soft, and may also lower the risk of the scar tissue (the implant capsule) around each implant from hardening.
instructional video by Joseph Cruise, M.D.
There are different massage techniques that you may be instructed to perform at any one time; each massage technique should be performed often during the first 3 – 6 months after surgery. It helps to look in a mirror when you first perform these exercises to make sure you are performing each correctly; thereafter, when appropriate, you can use a mirror to check the level and position of your breasts.
If you have any questions concerning your breast massage routine, please contact us as soon as possible and a member of staff will be ready to advise you.
Implants positioned below the muscle (sub-muscular or sub-pectoral) are initially forced to sit higher up the chest after surgery due to natural tension of the chest muscle (pectoralis major). With the help of gravity and the constant expansile force of the implant, the muscle will eventually stretch out and allow the implant to settle down. Downward manipulation of your implants helps to speed up this process and can be diminished in frequency as the implants settle. It is normal that the left and right muscles have different tensions, and usually for right-handed people the right side takes a little longer to descend.
Upward massage pushes your implants upwards to help stretch out the implant capsule. This is generally helpful for all patients, may prevent Capsular Contracture, and also stretch the upper portion of the chest muscle.
Loosening the chest muscle here means that there is less downward force on the implants, which may already be in the right position and do not need additional help (in addition to gravity) to be pushing them down.
Manipulating your implants towards each other (i.e., towards the middle of your chest) helps to better define cleavage, and in the case of implants positioned below the muscle, it helps to stretch out the portion of chest muscle that may be holding the implants too far apart.
Do not perform massage to push your breast implants laterally unless specifically asked to do so by Dr. Jugenburg. This is the least common form of massage, as it is very rare that an implant pocket needs to be stretched out laterally (outward, to the sides). Lateral Massage is generally reserved for cases in which a Capsular Contracture has been released. Massage in all directions, including the lateral direction, is performed to prevent a repeat contraction of the implant capsule.
Post-surgical manipulation of your implants (through massage) may help by encouraging the body to form a capsule in each breast slightly larger (or looser) than the implant itself. Breast implant massage can also gain breast symmetry where one implant may be slightly higher than the other, develop cleavage, or to retain the contour and symmetry of your breasts in the long-term.
It is important to massage routinely if you want your implants to settle sooner rather than later, and thereafter to maintain a good feel and appearance to your breasts. Continued massage is particularly important for smooth implants. If you have textured implants, DO NOT massage your breasts; Dr. Jugenburg will advise you on this.
Should you at any time experience any of the following, please contact the clinic immediately on (647) 360-1975:
A nurse will speak to you over the phone to determine if you need to be seen urgently or not. If you are unable to contact the clinic, or if it is after regular business hours, please first go to your nearest hospital to have a physician examine you, and then contact the clinic as soon as possible thereafter.
On average, most of the settling in will take place during the first 3 months after surgery; however, keep in mind that each individual is different.
Sometimes, it can take longer for implants to finally settle down. Dr. Jugenburg will monitor your progress at each follow-up visit and advise you if there is anything else you should do during this process.