Newswise — December 22, 2021 – For women undergoing breast augmentation, returning to exercise one week after surgery does not increase the risk of complications – but does lead to increased patient satisfaction, reports a clinical trial in the January issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

The findings question the recommendation made by some plastic surgeons to avoid exercise for several weeks after breast augmentation, according to the study by Filipe V. Basile, MD, and Thais S. Oliveira, MD, plastic surgeons in private practice in Ribeirão Preto, Brazil. They write, "These findings are in line with a broader tendency recently seen in other surgical fields in which early exercise was shown to be safe without increasing complication rates."

For women interested in breast augmentation, early exercise has 'obvious appeal'

Plastic surgeons have differing opinions as to how long patients should wait to resume exercise after breast augmentation, with recommendations ranging from a few weeks to a few months after surgery. "This recommendation is based on the belief that exercise could increase the complication rate, diminish scar quality and jeopardize surgical results," according to the authors.

Toward providing evidence to guide these policies, Drs. Basile and Oliveira designed a study in which patients undergoing breast augmentation were randomly assigned to early exercise versus standard restrictions. One week after their procedure, women in the exercise group began a supervised exercise program – either aerobic exercise or strength training, three times weekly for 12 weeks. Patients assigned to the control group were advised to avoid exercise for 12 weeks after surgery.

At one-year follow-up, complication rates and scar quality were compared between groups. In addition, patient satisfaction with their breast augmentation results was assessed using the validated BREAST-Q questionnaire. Seventy-five patients in each group completed the study.

The results supported the safety of early exercise. Overall complication rate was 6.9 percent in the exercise groups and 7.5 percent in the non-exercise group. Complications were generally minor; none of the patients needed revision surgery during the 12-month follow-up period. Scar quality was also similar between groups.

Unexpectedly, patient satisfaction scores were higher for women assigned to early exercise. Average satisfaction score on the 100-point BREAST-Q was 83 in the early exercise groups versus 66 in the non-exercise control group. Outcomes were similar for women assigned to aerobic exercise versus strength training.

That may seem counterintuitive to surgeons who recommend that their patients avoid physical activity while recovering after surgery. However, Drs. Basile and Oliveira note that the findings are consistent with previous studies showing that early postoperative exercise is beneficial and does not increase complication rates after several types of surgery, including cardiac surgery.

"[T]he better self-reported outcomes could be attributed to the effect that exercise has on mood and quality of life in general," Drs. Basile and Oliveira write. They think that might be especially important in women choosing to undergo breast augmentation, who tend to be more concerned with fitness. The researchers add, "There is an obvious appeal for this group of patients to be operated on and quickly return to exercising."

Click here to read “Exercise after Breast Augmentation: A Randomized Controlled Trial“

DOI: 10.1097/PRS.0000000000008676



Plastic and Reconstructive Surgery® is published in the Lippincott portfolio by Wolters Kluwer.

About Plastic and Reconstructive Surgery

For over 75 years, Plastic and Reconstructive Surgery® ( has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair and cosmetic surgery, as well as news on medico-legal issues.

About ASPS

The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

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