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Exercise after Breast Augmentation: A Randomized Controlled Trial.

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Returning to exercise after breast augmentation is safe. Early physical activity (1 week post-surgery) did not increase complications or affect scar quality, and improved patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Surgical Outcomes
  • Patient-Reported Outcomes

Background:

  • Limited data exists on exercise post-breast augmentation.
  • Current recommendations vary widely, often advising prolonged physical activity avoidance.
  • A prospective randomized trial was needed to assess early exercise safety.

Purpose of the Study:

  • To evaluate the safety and impact of early exercise after breast augmentation.
  • To measure postoperative complications, scar quality, and patient-reported outcomes.
  • To provide evidence-based guidance on physical activity resumption.

Main Methods:

  • A randomized controlled trial involving 225 women undergoing primary breast augmentation.
  • Participants were randomized to either standard restrictions or an early exercise group (1 week post-surgery).
  • Primary outcomes included complications, reoperation rates, scar quality, and BREAST-Q patient-reported outcomes.

Main Results:

  • No significant differences in complication or reoperation rates between groups (7.5% control vs. 6.9% exercise).
  • Scar quality at 12 months was comparable between the control and exercise groups (p = 0.204).
  • The exercise group reported significantly higher satisfaction with outcomes on the BREAST-Q Augmentation Module (p < 0.01).

Conclusions:

  • Early exercise following breast augmentation is safe and does not increase complication or reoperation rates.
  • Physical activity resumption at 1 week does not negatively impact scar quality after 1 year.
  • Early exercise improves patient-reported satisfaction with breast augmentation outcomes.