Why Can't I use an Underwire Bra After Breast Augmentation?

I am 3.5 weeks post-op and I was wondering if I can start using underwire bras? My doctor says it helps define the inframammary crease, but I’ve read many other opinions that strongly recommend not wearing this type of bra for at least 6-8 weeks. So I avoided them until very recently. Does anyone know if it’s safe to wear these bras now? Any advice you can offer would be very appreciated! 


F, 31, Connecticut

I had my breast augmentation about 8 years ago, and I remember my doctor advising me to avoid wearing underwire bras for about 6-8 weeks after surgery. I am pretty sure it was just the standard guideline back then. However, every breast is different, and your doctor may think you need the extra definition of the crease that the underwire will help you obtain. I hear doctors today recommending various timelines regarding when underwire bras can be worn after surgery. I think that is due to every woman's breasts being unique. If I were you, I would follow your doctor's advice or give the office a call to have the doctor elaborate on why he is advising you to begin wearing underwire bras so soon.

You're absolutely correct. This is still a contested topic amongst surgeons. As you've mentioned, some doctors argue underwire bras help define the inframammary crease (see image below) and help with the positioning of the implant. Other doctors do not allow patients to use underwire bras for 6-8 weeks following their breast augmentation surgery. This is done because for patients who've had their implants placed submuscular, there is a chance the pectoralis major muscle may spasm, causing the implants to be pushed upward. When this happens, surgeons typically apply pressure to push the implants back down. Having an underwire bra would oppose this, resulting in your implants being pushed further upward. The other reason not to use a underwire bra immediately following a breast augmentation, is that if your implants were placed through an inframammary incision, an underwire could potentially rub against the excision site, creating irritation and redness. 



Thank you for taking the time to read and answer my questions, Dr!