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I'm just wondering if doctors ever say you can sleep without some sort of support on after a BA. I'm assuming they prefer total support forever and ever, but how long after have any of you ladies started sleeping without a sports bra or other type of bra on?
My PS told me NOT to wear a bra or that I could wear a very light support bra after my sx. I've worn a light sports bra since day 1 because I wasn't comfortable going bra-less, they seem to ache more when I'm bra-less (hoping this goes away soon!).
I just had my (somewhat) pre-op apt. I already know for sure what size, etc... Just had to go pay and get my prescriptions and instructions. I was reading over them and it says I'll be in my compression bra right after surgery for 4 days, I can remove the next day to shower, and am only allowed to wear a bra during the day. Can I tell you how stoked I am about this?!
I decided to just go ahead and try sleeping bra-less last night...and boy was it comfortable! That sports bra I had been wearing at night was too tight as my PS had wanted me to purchase a small one to wear as a compression bra. I'm 6 weeks post op now. I'm wondering if it helps them drop faster by at least sleeping bra-less.
You will hear a lot of different opinions on sleeping with or without a bra...but the question you should be asking yourself is why? Why? Sometimes PS will have a particular instruction that may not make sense, but you have to ask him/her why?
So this is my opinion that I tell my patients regarding sleeping with or without a bra. In the initial postoperative period, I have them wear a bra - Why? First of all, for compression (to fight swelling), and secondly to keep things that I have surgically dissected in place.
After the first week, when the pain subsides, I have the patient massage her implants. Why? I want the scar tissue to break up. I want the implants to stretch the surrounding tissue, so that they will eventually "drop" into their pockets.
Thereafter, do you need to wear a bra, for example, 6 months out? It depends! What it really depends on is size and skin elasticity. We all are fighting gravity every single second of the day. I will give you two examples:
A) A young 22 year old female who has never had a children goes from size A to size C cup after implants. Does she need to wear a bra at night?....probably not. Her size is reasonable, and her skin elasticity is tight. Her implants will thus hold up better over a longer period of time.
B) A 37 year old mother of 3 children goes from small size C to size small DD after implants. Does she need to wear a bra at night? I strongly encourage wearing a comfortable sports bra at night....why? To prevent her implants from falling laterally towards her armpits when she is sleeping on her back. After 3 pregnancies, this particular patient has much thinner skin elasticity (it will stretch quicker from gravitational effects), and she has much larger breasts (again gravity will have a much larger effect).
So see where you are in the spectrum of size and skin elasticity....wearing a bra at night is completely up to you. However, I always encourage a comfortable bra at night because we are fighting gravity every day (night!).
Edward Park, M.D. Board Certified by the American Board of Plastic Surgery www.FaceNBody.com (909) 981 8985
Thank you Dr. Park for that very informative reply! It makes total sense now! I appreciate so much your taking time out from your very busy day as a Plastic Surgeon to help so many women in this forum. You are a blessing, as are all the ladies on MMH.
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