How long after a breast augmentation can sex resume?

Basically what I need to find out is how long will my partner and I have to wait to resume normal sexual activities after I have my breasts augmented. My partner is extremely excited about my having the procedure done but we have a very active sex life and he's concerned about how he'll deal with having to refrain from doing 'everything' we normally do -- especially in light of my 'new additions.' I think if he had an idea of how long the wait would be, he'd feel better. I'd really appreciate some help in this area because I don't know what to tell him.

LeUrsa26

F, 27, New Jersey

Assuming a normal procedure and postoperative course, you should be able to resume having sex within a week, or less. If the sex involves vigorous manipulation of your breasts- squeezing, pressing, tugging, etc. you will probably not be comfortable with these for up to several weeks. It is not uncommon for the nipple/areolae to be hypersensitive for weeks to months after breast augmentation. Some of my patients state that is was uncomfortable simply to have their clothes rub on their nipples. This nearly always subsides but may take, as I said, weeks to months. You would not like you partner manhandling them during that time. Also realize that one in ten women will experience some degree of diminished sensitivity in their breasts after augmentation. This is permanent and unavoidable. There is no way to predict who will experience this. If your breasts are a significant source of your sexual pleasure, understand that some of this may be lost after surgery. It goes back to something I tell every patient contemplating breast augmentation: you are doing something very unnatural to your natural breasts and this comes with consequences, some of which are unpredictable and/or less than ideal. Bear that in mind when deciding to move forward with this surgery. If your surgeon does not tell you this, they are not informing you fully. 

Sex and manipulation of your new breasts should be handled in phases. We recommend that you avoid having sex for two weeks following surgery. As with all plastic surgery, and especially with a breast augmentation, there will be swelling and bruising around the surgical site. You don't want to increase your heart rate or perform any strenuous activity that could cause your internal stitches to rupture or lead to any harm. While I obviously can't say for certain, I’d suggest it's unlikely you'll be in the mood for sex the first few weeks following surgery anyway.

After that, you should approach sex carefully. Our guidelines for post-procedure sex are time and common sense. As for doing "everything" -- I recommend you tell your partner that any sexual breast play will be off-limits for about six weeks after surgery, otherwise it could hurt you, and possibly displace your implants. This goes for silicone as well as saline implants.

Don’t be afraid to ask your plastic surgeon this question. He or she is a medical professional and has probably been asked the same question hundreds of times. Assuming you’re working with a board-certified plastic surgeon, he or she will provide you with specific instructions as to when you can resume sexual activity, or more specifically, begin stimulating your breasts again.

Sex after surgery is dependent on several factors – the procedure, your comfort level, and your body’s ability to heal. The biggest concerns following breast surgery are bleeding, wound disruption, and possible displacement of the implants. We also don't want your blood pressure rising too much. This can lead to blood collection around the implant (called a hematoma).

We generally recommend patients wait at least two weeks before resuming any sexual activity involving their breasts. The reality is that up until that time you’ll probably be far too sore to think about sex anyway. When you do return to sexual activity, I suggest you take a very passive role for another four weeks or so (meaning being on the bottom during intercourse). The same rule applies for both saline and silicone breast implants.

Ask your surgeon if/when you can start gently massaging your breasts after surgery to help them soften and settle. You’ll still be a bit sore, but follow the recommended post-op procedures and let your body be your guide as to what you should and shouldn't do.

Dr. Landon Pryor has 2 Breast augmentation before & afters:

Breast augmentation before image performed by Dr. Landon PryorBreast augmentation after image performed by Dr. Landon PryorBreast augmentation before image performed by Dr. Landon PryorBreast augmentation after image performed by Dr. Landon Pryor

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