Breast Augmentation Recovery Week by Week

When you decide to undergo breast augmentation surgery, you will naturally wonder about the postoperative recovery process and what to pay attention to in your aftercare. To address your questions in detail, we have prepared a comprehensive blog post covering everything from the first hours after surgery to the full recovery process.

Breast augmentation recovery week by week

First week after surgery

Day of surgery

• The surgery is completed and an elastic bandage or a surgical bra and gauze dressings are applied.
• You will need someone to drive you home and help you at home for the first 1-2 days.
• On the day after surgery, you may receive a telephone call to check how you are feeling and to arrange follow-up appointments.
• In some cases, especially in the case of implant replacement, plastic drains may be placed.
• Drink plenty of fluids to overcome the effects of anaesthesia.
• Bed rest is generally recommended for the first night, only getting up to go to the toilet.
• Start taking painkillers as prescribed.
• Stool softeners can be taken if necessary to prevent constipation.
• Smoking and alcohol should be avoided.

48 hours and first days after surgery

• If you have underarm incisions, you should not use deodorant for the first week and you should not shave for the first two weeks.
• You can take a shower even if you have drains. Drain sites should be dried with a hair dryer on a cold setting.
• Short walks should be taken as often as possible, every hour while awake. Lying or sitting for long periods of time and crossing your legs should be avoided.
• The upper body should be kept elevated to reduce breast swelling.
• Numbness or hypersensitivity of the breast and nipples is normal.
• Bruising is usually minimal, but the breasts will feel swollen and firm for at least three weeks.
• It is normal for the swelling to gradually descend to the abdomen and buttocks.
• A bandage or bra must be worn continuously for the first 7 days.
• If you have drains, the amount of drainage should be recorded regularly.
• Maximum discomfort is experienced in the first few days after surgery.
• Temporary pain, bruising, swelling and tightness in the breasts and discomfort at the incision site are expected.
• There may be numbness in the nipples, the surrounding skin or along the incisions.
• The first menstrual cycle may cause swelling and pain in the breasts.
• Random, stabbing pains and itching in the abdomen, back, sides and along the incisions may last for several months.
• Get up and walk (2-5 minutes) every hour while awake to improve blood circulation.

2nd week after surgery

• The first office visit is usually one week later. You may be given more instructions about breast massage by the nurse at your first check-up.
• If you have drains, they are usually removed at this visit.
• The skin-coloured bands (steri-strips) should remain in place for two weeks and should be allowed to fall off by themselves.
• The breasts may appear hard and swollen.
• The supportive bra provided should be worn for 24 hours and only removed when showering or washing. The bra should be hand washed at 30 degrees and should not be tumble dried.
• Lotion or powder should not be applied to the breasts for one week.
• Sleep on your back and with your head elevated (with 2-3 pillows). Sleeping face down should be avoided for at least 6 weeks.
• If hard steering does not cause pain (usually within 5-7 days), you can drive, but only after you have stopped taking painkillers (narcotics) and have full range of motion in your arms.
• You can return to work (if it is not too tiring) in about 1-2 weeks.
• During the first week, arms should not be raised above shoulder level.
• The first shower can be taken. The bandage or bra and all gauze dressings are removed. The skin-coloured bands ('steri-strips') are left in place. After the shower, the breasts are gently dried, clean gauze is placed over the breast incisions and the bandage or bra is put back on.
• The skin-coloured bands (steri-strips) usually fall off at this time.
• Low-impact exercises such as walking on a treadmill (flat or inclined) and cycling can be started.
• The arms may have full range of motion above shoulder level, but no more than 5kg should be lifted for 6 weeks.

3rd week after surgery

• Lower body weight machines may be used with elliptical cycling (low intensity, no arms) and arm exercises with light weights of 5-7kg.
• Less vigorous sexual activity can be considered.
• Cardio exercises can be started (wearing two sports bras while running on a treadmill).

4th week after surgery

• Light jogging and mat pilates can be done.
• Surgical or sports bra should be worn for 4 weeks. For 4 weeks, underwire bras should not be used.

5-6 weeks after surgery

• Exercises such as floor yoga (except inverted postures), working with heavier weights of 10-15kg, spinning without upper body movement, Zumba and barre method can be started.
• Underwire bras can be worn. It is recommended to wait 3-6 months for new bras because the shape may change.
• Low-impact exercises (walking, cycling) can be started. Running, pectoral exercises and weight lifting should be avoided for about 2-3 months.
• Swimming (if healing is complete) can be started.
• Exercises that focus on the pectoral muscles (push-ups, bench press, chest fly, military press) should be avoided for two months to prevent possible implant movement.

7-8 weeks after surgery

Activities such as yoga, all cardio exercises, cardio sculpt, swimming (any style), horseback riding, water sports, pilates, tennis, golf and kickboxing/martial arts can be started.

Strenuous activities are usually released after 6-8 weeks.

3-6 months after surgery

Most of the swelling and discoloration subsides. Scars may be thin initially, but may thicken and turn red for up to six months, then begin to fade.

6 months after surgery

It usually takes 6 months for the final results to appear. During this time, incision asymmetry, breast asymmetry, nipple and areola asymmetry, folds along the incisions and firmness along the incision line may be noticeable.

1 year after surgery and beyond

• The final scar quality usually lasts a year or more.
• Breast massage is recommended by some doctors 3 times a day for the first 6 months, 2 times a day for the next 6 months, and then 1 time a day for 10 repetitions for life.
• Some doctors recommend antibiotic treatment before invasive procedures where bacteria can enter the bloodstream, such as dental treatment or colonoscopy.
• Warranty information for breast implants should be kept.
• Future mammography technicians should be informed that you have implants.
• Corticosteroid injections may be tried in people with keloid formation.

What are the possible complications after breast augmentation surgery?

Not all patients will experience complications after breast augmentation surgery. Below are some potential post-operative complications, along with their causes and treatment methods:

Blood clots (Deep vein thrombosis)

Prolonged inactivity, sitting for long periods, or sitting cross-legged after breast augmentation surgery can increase the risk of blood clots forming in the leg veins. Additional risk factors include genetic predisposition, contraceptive pill use, and smoking.

To help prevent clot formation, stand up and take short walks as soon as possible—ideally starting the evening of your surgery. This promotes healthy blood circulation. Avoid extended periods of inactivity, and be mindful not to cross your legs while sitting or lying down.

Depending on your individual risk factors, your doctor may recommend preventive measures such as compression stockings (to improve circulation) or blood-thinning medication.

Bruising and swelling

Swelling and bruising after surgery are quite normal. The main reason for this is that tissues and small blood vessels are naturally affected during the surgical procedure. As your body sends more fluid and blood cells to this area during the healing process, a temporary swelling occurs.

You can apply a few simple methods to alleviate this condition:

• In the first weeks, supporting your upper body with pillows and keeping it slightly elevated will help reduce fluid accumulation.
• The use of elastic bandages or surgical bras recommended by your doctor is very effective in controlling swelling.
• Do not worry; these bruises and swelling will decrease significantly over time, usually within 2-3 weeks.

Breast firmness

It's completely normal to experience firmness in your breasts during the postoperative period. This firmness typically occurs for two main reasons: first, due to tissue swelling and the natural healing process following surgery; second, because of the capsule tissue that gradually forms around the implant.

Numbness or hypersensitivity in the breasts and nipples

It is quite normal to experience loss of sensation or hypersensitivity in your nipples after surgery. The main reasons for this include temporary nerve damage during surgery, swelling during the healing period and your body's natural repair process.

This condition is usually temporary. In most patients, normal sensation gradually returns within 3-6 months. To facilitate this process, your doctor may recommend special sensory enhancing exercises (desensitisation techniques)

Constipation

Constipation is common after surgery. There are two main reasons for this; the slowing effect of the narcotic painkillers used on the digestive system and the decrease in the level of movement. To prevent this problem, consume 8-10 glasses of water a day and follow a diet rich in fresh fruits, vegetables and fibre-rich foods.

Infection

There is a risk of infection after surgery if bacteria contaminate the surgical site. Contact your doctor immediately if you experience:

• Increased redness and swelling at the incision site,
• Elevated body temperature,
• Purulent discharge or foul odor,
• Fever above 38°C (100.4°F),
• Chills and general malaise.

In severe cases, temporary implant removal may be necessary. Early diagnosis and treatment are crucial for preventing complications. To minimize infection risk:

• Take all prescribed antibiotics exactly as directed,
• Keep incision sites clean and dry at all times,
• Use only the dressing materials recommended by your surgeon.

Delayed wound healing or wound dehiscence

There are several main reasons for delayed wound healing or wound separation after surgery. Smoking is one of the most important factors that delay healing by disrupting tissue nutrition. If you are a smoker, quitting smoking for at least 4-6 weeks before and after surgery will make a great contribution to healing.

Poor scar formation (Thickening, redness, keloids)

Several factors contribute to the development of thickened, reddened, or keloid scars after surgery, including:

• Genetic predisposition,
• Individual skin healing characteristics,
• Tension along the incision line.

Postoperative care recommendations:

• Sun protection: Keep the wound area protected from sunlight. Avoid sun exposure for the first 6 months and use high-protection sunscreen (SPF 30+).
• Scar care: With your doctor's approval, you may use: Silicone-based scar gels or patches and Vitamin E-enriched moisturizers
• Healing timeline: Scar maturation typically takes 6-12 months. Consistent care and adherence to your surgeon's recommendations will optimize your final results.

Fluid leakage

After breast augmentation surgery, mild fluid leakage from incision lines or drain sites may occur as a natural part of the healing process. This is usually a result of the body's mechanism to drain the fluid accumulation in the surgical site.

To deal with the leakage, you should first keep the affected area clean and change your dressings regularly as recommended by your doctor. If you are using a drain, you should follow your healthcare team's instructions for the care and emptying of the drain bag. These leaks will spontaneously reduce and stop completely within a few days, but in worrying cases your doctor may recommend additional intervention.

Pain and discomfort after breast augmentation surgery

It is normal to experience pain and discomfort following breast augmentation surgery, which occurs due to tissue manipulation during the procedure and post-operative swelling. To manage this effectively, take your prescribed pain medication exactly as directed by your surgeon, maintaining the recommended dosage and schedule without skipping doses.

During the first few days, limit physical activity and avoid sudden movements to help control discomfort and support healing. While pain is typically most noticeable in the initial 3-5 days, you should experience significant improvement within 1-2 weeks as swelling subsides. If your pain worsens or persists beyond this expected timeframe, contact your surgeon promptly, as this may require further evaluation.

Hematoma (Blood accumulation)

The formation of post-operative hematoma occurs when blood leaks from small vessels in the surgical area and accumulates between tissues, typically developing within the first 48 hours.

Small hematomas are usually reabsorbed naturally by the body and only require regular monitoring. However, larger or progressively expanding hematomas may require surgical intervention. In such cases, your surgeon may perform a minor drainage procedure to remove the accumulated blood.

Seroma (fluid accumulation)

After breast augmentation surgery, seroma, which means the accumulation of body fluid (serous fluid) in the surgical site, may occur, and this condition is usually caused by the temporary effect of the lymphatic system.

While small seromas are usually absorbed by the body spontaneously within a few weeks and require only follow-up, in larger or uncomfortable seromas, your doctor may aspirate the fluid with a sterile needle or place a temporary drain to allow the fluid to drain in a controlled manner.

Capsular contracture (tightening of scar tissue around the implant)

Capsular contracture, defined as excessive scar tissue formation around the implant after breast augmentation surgery, develops as a natural but exaggerated reaction of the body to the implant. Although non-surgical methods such as vitamin E supplements or special medications can be tried in the treatment of this condition, the effectiveness of these approaches is usually limited.

In more advanced cases, surgical intervention may be required, including loosening of the capsule (capsulotomy), complete removal (capsulectomy) or, if necessary, replacement/removal of the implant.

Implant exposure (Extrusion)

Implant exposure is a rare but serious complication that may occur after breast augmentation surgery, typically resulting from severe wound healing issues or infection that causes wound separation, allowing the implant to shift toward the skin surface. In such cases, immediate removal of the implant is necessary to prevent infection and tissue damage.

If your surgeon determines it appropriate, a new implant may be placed after the infection is fully controlled and the wound has completely healed, which usually takes 3-6 months. This complication requires prompt medical attention to minimize risks and ensure optimal recovery.

Nerve changes (Numbness, tingling, burning)

It is common to experience sensory changes such as numbness, tingling, or burning sensations after breast augmentation surgery, primarily caused by temporary nerve irritation during the procedure or pressure from post-operative swelling. These symptoms are typically temporary and gradually improve within 3-6 months as the nerves heal naturally. In most cases, normal sensation returns completely as the recovery process continues.

Asymmetry in breasts or nipples

In the post-operative period, asymmetry observed in the breasts or nipples may occur due to natural variations in the healing process, implant positioning, or surgical technique.

In the initial weeks, minor asymmetry is considered quite normal and often resolves spontaneously as the implants settle into place (typically within 3-6 months).

It's important to note that perfect breast symmetry is uncommon, and most women naturally have slight asymmetry. What matters is having professionally evaluated any noticeable differences that may concern you. You should patiently wait until the 6-month post-operative mark while maintaining all scheduled follow-up appointments with your surgeon.

Displacement or rotation of the implant

Implant displacement after breast augmentation usually develops in the early postoperative period due to excessive physical activity - especially exercises that strain the pectoral muscles, such as push-ups and weight lifting, significantly increase this risk.

If you notice a significant change in the position of the implant (e.g. one breast is much higher than the other or shifted to the side), this may require revision surgery. Your surgeon will recommend an additional intervention to reposition the implant or, if necessary, to correct the implant pocket.

Spitting sutures (Suture extrusion)

Following breast augmentation surgery, you may sometimes encounter a situation called "spitting sutures," where absorbable stitches migrate toward the skin surface. This typically represents a normal bodily reaction to the suture material and is no cause for concern.

In most cases, these sutures will fall out on their own. However, if they become bothersome, your doctor can trim or completely remove the protruding portion under sterile conditions.

Allergic reactions (to medication)

You may develop an allergic reaction to painkillers, antibiotics or other medications used after breast augmentation surgery. This is a hypersensitivity reaction of your body to certain drug components. When allergy symptoms (redness of the skin, itching, rash, swelling of the face or shortness of breath) occur, you should stop using the medicine immediately and contact your doctor immediately.

Depending on the severity of the reaction, your doctor may recommend antihistamines, cortisone treatment or emergency intervention. Especially if you have been allergic to any medication before, you should definitely share this with your surgeon before surgery.

Shortness of breath or chest pain

Shortness of breath or chest pain following breast augmentation surgery may indicate a serious condition such as pulmonary embolism (when blood clots from the legs block lung arteries), which is a life-threatening medical emergency. If you experience these symptoms, you must seek immediate medical attention at the nearest emergency department without delay.

This risk is particularly higher in patients who remain immobile after surgery, use birth control pills, or have genetic clotting disorders.

You can significantly reduce this risk by strictly following your surgeon's post-operative instructions, including early mobilization, adequate hydration, and wearing compression stockings as recommended.

Emotional ups and downs

Emotional fluctuations after surgery are a natural part of the process of adjusting to the effects of anaesthesia, medication and sudden changes in body image. It is quite normal to feel sad, anxious or emotionally sensitive during this period - this may be particularly noticeable in the first 2-3 weeks.

This is temporary and will resolve itself as your body recovers from the anaesthetic, the medication wears off and you get used to your new appearance. The best approach is to seek support from loved ones, familiarise yourself with the natural stages of recovery and give yourself time.

Rumbling or fluid in the breasts

It is quite normal to hear a rumbling or fluid sound in your breasts after breast augmentation surgery, and these sounds are usually caused by air bubbles trapped in the breast pocket during surgery or fluids produced by your body during the natural healing process. This is a temporary condition and will disappear spontaneously once the implants are fully in place (usually within 2-4 weeks).

Increased swelling and tenderness during menstruation

Following breast augmentation surgery, you may experience greater than usual swelling and tenderness in your breasts during your menstrual cycle. This occurs as a natural response to hormonal fluctuations.

The changes in estrogen and progesterone levels during your premenstrual phase can increase fluid retention in breast tissue, causing temporary swelling. This condition is completely temporary and typically resolves on its own within 3-5 days after your period ends.

To alleviate discomfort during this time, you may wear a supportive bra, limit salt intake, and perform gentle massages.

Contact Antalya Aesthetic Clinic

As Dr Bülent Demir aesthetic clinic in Antalya, we provide services with expert staff and advanced technology equipment for safe and successful breast augmentation surgeries. By providing professional support before and after the surgery, we ensure that our patients achieve the best results. We take care of all the details and minimise the risks of complications in order to spend the healing process in the healthiest way. You can apply to our aesthetic clinic in Antalya for safe, natural and satisfying results.

FAQs

How long do post-operative swelling, bruising, and sensory changes last, and how do they resolve?

Swelling and bruising after breast augmentation are normal. Swelling typically lasts about 3 weeks, and your breasts may feel firm during this period. Their final shape and size will settle over several months. Keeping your upper body elevated can help reduce swelling. It's normal for the swelling to gradually move downward toward your abdomen and hips as it dissipates.

When can I return to normal activities and exercise?

If it is not too strenuous, you can return to your social and work activities in about 1 to 2 weeks.

When can I wear a normal bra after surgery?

You can start wearing a wire bra 6 weeks after surgery. It is recommended not to spend too much money on new bras in the first 3-6 months as there may be swelling because the shape will change. If you feel that sports bras are supportive while sleeping, you can continue to wear them.

How will my implants' appearance change long-term after surgery, and when can I see final results?

In the first weeks after surgery, your breasts may appear square or conical in shape, with swollen nipples. The implants will sit high on your chest wall, and your skin may feel tight and shiny.

Over time - typically around 6 weeks and beyond - the implants will begin to settle and develop a more natural shape. The initial upper fullness will decrease while lower fullness develops. Your muscles will relax, allowing the implants to reach their full size. Final results usually become apparent after about 6 months.

How long should the elastic bandage or surgical bra be worn continuously after breast augmentation surgery?

The elastic bandage (sling) or surgical bra and gauze dressings are placed at the end of surgery and should be worn continuously for the first week.

When can I shower after breast augmentation and when should the colored bands (“steri-strips”) on the skin be removed?

The first shower can be taken as soon as forty-eight hours after surgery. Skin-coloured tapes called steri-strips should remain in place for two weeks and then be allowed to fall off on their own.