Breast Augmentation Down Time
What most patients can expect after breast augmentation—pain control, activity, bras, scars, and when it’s safe to drive, work, and train.
Medically reviewed by Dr. Tim Neavin • Updated
At-a-Glance Timeline
Note: Incision choice (see incision guide), implant type (saline vs silicone), and pocket/placement can shift timelines. Always follow your personalized plan.
Pain, Swelling & Medications
Most describe tightness or pressure more than sharp pain during the first few days. We’ll outline a medication plan (prescription and over-the-counter options) and guidelines for icing/elevation. Expect swelling to peak the first week and gradually decline.
Activity: Driving, Work & Exercise
- Driving: Safe once you’re off narcotics and can brake/turn comfortably without pain.
- Work: Many desk jobs resume ~1 week; physically demanding roles need longer.
- Exercise: Light cardio from ~2 weeks; progress gradually. Upper-body/chest work typically after clearance (~6–8+ weeks).
- Lifting: Avoid heavy lifting early on; follow weight limits we provide.
- Heat/sauna/hot tubs: Avoid until incisions are fully sealed and cleared at follow-up.
- Swimming: Usually allowed after incisions are fully healed and cleared at a visit.
Bras, Garments & Sleep Position
You’ll start in a surgical or soft support bra per our instructions. Underwire is typically delayed to protect incisions. Sleep elevated and on your back early on; side sleeping comes later as comfort allows. High-impact activity needs a supportive sports bra.
Scar Care & Taping
Once incisions are fully closed (we’ll confirm timing), silicone sheeting/gel and gentle taping can help scar maturation. Protect scars from sun for at least a year (SPF/coverage). Itchiness and color changes are common in early healing.
“Drop & Fluff” and Shape Changes
Implants typically sit high at first, then settle (“drop & fluff”) over weeks to months as swelling subsides and the soft tissues relax. Minor asymmetries are normal early on and often even out as the pocket matures.
When to Call the Office
- Sudden swelling, increasing pain on one side, or rapid size change.
- Fever, chills, spreading redness, or drainage with odor.
- Shortness of breath, calf pain/swelling, or chest pain—seek urgent care.
This guide is general education and not medical advice; your instructions may differ. When in doubt, contact us.
Recovery FAQ
How soon can I fly after surgery?
Short flights are often possible after your early post-op check if you can walk regularly, hydrate, and follow medication guidance. Long-haul trips are best delayed—ask us for timing.
When can I return to the gym?
Most start light cardio around 2 weeks and resume progressive training by 6–8+ weeks, with chest work last. We’ll tailor this to your procedure and healing.
How long will swelling last?
Most visible swelling improves over 2–6 weeks, with subtle changes continuing for several months.
Do I need special bras?
Yes—supportive, non-underwire options early on; sports bras for impact. We’ll advise when to switch styles.
augmentation basics (step-by-step)
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Board-certified plastic surgeon with extensive experience in breast, face, and body procedures.