Recovery After Breast Augmentation: Guidelines for Healing after Implants

Top Ten Recovery Tips

1. What to Expect in the First Week

The initial week post-surgery is often the most challenging. Here’s a day-by-day breakdown:

• Days 1-2: You’ll likely feel groggy and sore. Your chest will feel tight and heavy, akin to the sensation after an intense upper body workout. Some nausea from the anaesthesia is common.
• Days 3-4: Discomfort typically peaks but becomes more manageable. You might notice some bruising and swelling.
• Days 5-7: You’ll start feeling more like yourself. The tightness in your chest will begin to ease, though your range of motion may still be limited.

Throughout this week, you’ll need to wear a surgical bra round the clock and sleep on your back with your upper body slightly elevated. If drains were placed, they’re typically removed within the first week.

2. Tips for a Steady Recovery: Do’s and Don’ts

Do’s:

• Rest as much as possible, especially in the first few days
• Take short, gentle walks to promote circulation
• Wear button-up shirts or tops that open in the front
• Keep surgical sites clean and dry
• Follow Dr Kohout’s instructions to the letter
• Stay hydrated and eat a balanced diet rich in proteins and vitamins

Don’ts:

• Don’t lift anything heavier than 2.3 kg (5 pounds) for at least 2 weeks
• Avoid reaching above your head or making extreme arm movements
• Don’t sleep on your stomach or side for at least 6 weeks
• Avoid underwire bras until your surgeon gives the go-ahead
• Don’t smoke or consume alcohol, as these can impair healing – resulting in possible complications
• Avoid submerging your incisions in water (baths, pools, hot tubs) for at least 4 weeks

3. Managing Pain and Discomfort

Pain management is important for a comfortable recovery. Here are some strategies:

• Take prescribed pain relief medications as directed
• Use cold compresses to reduce swelling (always wrapped in a cloth, never directly on the skin)
• Practice deep breathing exercises to help with discomfort and promote relaxation
• Wear your surgical bra consistently for support
• Gradual massage (once approved by your surgeon) can help alleviate discomfort and promote proper implant settling

Remember, everyone’s pain threshold is different. If you’re concerned about your level of discomfort, please contact your surgeon.

4. How Long is Recovery?

Recovery timelines can vary, but here’s a general overview:

• 1-2 weeks: Most patients can return to desk jobs
• 3-4 weeks: You can typically resume most daily activities
• 6 weeks: Many surgeons clear patients for more strenuous activities and exercises
• 3 months: Swelling should be mostly resolved
• 6 months to 1 year: Final results become apparent as implants fully settle

It’s important to note that while you may feel “back to normal” after a few weeks, your body continues to heal internally for months after the surgery.

5. Returning to Exercise

Easing back into your fitness routine requires patience and caution:

• Weeks 1-2: Focus on rest. Light walking is encouraged to promote circulation.
• Weeks 3-4: You can start with light lower body exercises, avoiding any movements that bounce or jostle your chest.
• Weeks 4-6: Introduce light cardio like brisk walking or stationary cycling.
• Week 6 onwards: Gradually reintroduce upper body exercises, starting with very light weights.
• 8-12 weeks: Most patients can return to their full exercise routines, including chest exercises.

Always listen to your body and Dr Kohout’s advice. If an activity causes pain or discomfort, stop and consult Dr Kohout or his team.

6. Caring for Your Incisions / Scars

Proper scar care is essential for optimal healing:

• Keep incisions clean and dry
• Apply any ointments or creams recommended by your surgeon
• Once healed, gently massage the scar tissue to help it soften and fade
• Protect scars from sun exposure, as UV rays can darken them
• Consider using silicone sheets or gels to support optimal scar formation (after your surgeon approves)

7. What to Wear During Recovery: Clothing Tips for Comfort

Choosing the right clothing can make a significant difference in your comfort levels:

• Opt for button-up or zip-front tops to avoid lifting your arms over your head
• Loose, soft fabrics will be most comfortable against your sensitive skin
• Wear your surgical bra as directed by Dr Kohout
• When transitioning to regular bras, choose soft, wire-free options initially
• Once cleared with Dr Kohout, you can return to under-wire bras if you wish

8. Sleep Tips for an Optimal Recovery

Quality sleep is fundamental for healing. Here are some tips:

• Sleep on your back with your upper body elevated at a 30-45 degree angle
• Use extra pillows for support and comfort, a pillow under your knees may help your back
• Consider a wedge pillow or adjustable bed for optimal positioning
• Avoid sleeping on your side or stomach for at least 6 weeks
• If you’re a restless sleeper, consider using pillows to “barricade” yourself and prevent rolling over

9. Emotional Well-being During Recovery

The emotional aspect of recovery is just as important as the physical:

• It’s normal to experience a range of emotions, including excitement, anxiety, and even temporary regret
• Be patient with yourself and your body as it heals
• Stay connected with friends and family for support
• Consider joining online support groups for breast augmentation patients
• If you’re feeling overwhelmed, it’s important to speak with a mental health professional

10. Foods That Promote Healing After Surgery

A nutritious diet can significantly aid your recovery:

• Lean proteins (chicken, fish, tofu) to support tissue repair
• Fruits and vegetables rich in vitamins A and C (berries, citrus fruits, leafy greens)
• Whole grains for energy and fibre
• Nuts and seeds for healthy fats and vitamin E
• Probiotic-rich foods (yoghurt, kefir) to support gut health and immune function
• Stay hydrated with water and herbal teas
• Avoid processed foods, excessive sugar, and alcohol, as these can hinder healing and increase inflammation.

Remember, recovery is a process unique to each individual. Be patient with yourself, follow Dr Kohout’s advice to the letter, and always reach out if you have concerns. With proper care and time, you’ll soon be able to fully enjoy the results of your breast augmentation.