Recent Breast Implants

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Scarlite

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I just got a call from a colleague of mine about working with a client who recently had breast implants. The only experience I have had with this was about two years ago when a hotel outcall client asked me not to use any deep pressure while working on the upper torso because she was still quite sensitive after having had her implants done.

Does anyone have any advice or suggestions with respect to working with someone who has had recent implants? Thanks in advance for your help.
 


Do you know how recent? 2 weeks, 6 weeks, 6 months?? How recent the surgery was might make a difference in how you approach the massage.

Angie
 


Hey There,

Depending on what seforum.xxxe of recovery they are at and their own pain tolerance, massaging around the scared area CAN be good to prevent scare tissue from building up. Make sure they have their doctors OK on massage

This is not a breast massage, it is more of a scare and surrounding muscle massage, but if you are a male therapist, this may be to close for comfort, depending on your relationship with the client.

J
 


moogie303 said:
Do you know how recent? 2 weeks, 6 weeks, 6 months?? How recent the surgery was might make a difference in how you approach the massage.

Angie

Good question! I believe she had the surgery approximately two weeks ago. What would be the difference in the way that would approach working with someone who had breast implants two weeks ago vs. six weeks ago?
 


I almost always have a 4-week rule for working on people post-surgically (at least v near the incision). I'm not sure any more where I got that -- maybe Robyn will weigh in on this too.
 


I would go 6 weeks with doctors permission, and then even so, I would not apply any pressure to the back or even have her supine at all until the MD approves. You don't want her to blame you for screwing up her implants...

After the approval, I would make sure to raise the face cradle high enough to fully support her neck, then put a rolled towel under her breasts for her comfort, and since she is going to have the "torpedo syndrome" it may be uncomfortable for her to lay prone at all for a while.
 


Pandoras_Gift said:
I would go 6 weeks with doctors permission, and then even so, I would not apply any pressure to the back or even have her supine at all until the MD approves. You don't want her to blame you for screwing up her implants...

After the approval, I would make sure to raise the face cradle high enough to fully support her neck, then put a rolled towel under her breasts for her comfort, and since she is going to have the "torpedo syndrome" it may be uncomfortable for her to lay prone at all for a while.

I agree. We won't work on anyone until at least 6 wks post-surgery. Even then, only with MD's written authorization. I would also add that this is when body cushions come in handy. She's not going to want to lay on her stomach and have you push on her back any time soon.

After 6 wks, then I would recommend doing lymphatics to help clear the area. Also cross-fiber around the incision to reduce scar tissue build-up. Probably one of her big problems will be mid-back pain due to the increase in weight to the front.

Angie
 


BJB-LMP said:
-- maybe Robyn will weigh in on this too.

Happy to.
It, for me will be about 4-6 weeks post op. Unless you plan to treat her chest area as a local CX. Ex: she could have legs, side work etc. No work on pecs ant chest muscles, and no lying prone until tolerated.
Also depends on:
-whether implants are above or below the mucle
-location of incision(umbilicus, areolar, breast fold etc)
-how big they actually went compared to before surgery.(we have some tiny women getting 500+ cc implants which will cause their own pain with taut tissue)
-How well they heal.
With all sp Breast Augs I would use a rolled handtowel between and underneath their breasts while prone for comfort.
AFTER a scar has healed(post remodleing phase) it is ok and good to work the scar. Before that, could cause dehiscence(splitting apart).
Most closing sutures for breast augs are either vicryl, monocryl or PDS.
I've linked info for them from J&J. All have similar healing times(when absorbed completely). I would adhere to their guidelines so as not to interrupt the healing process. They all vary from 90-120 days.

http://www.jnjgateway.com/public/USENG/6923Coated_VICRYL_polyglactin_910_Suture.pdf

http://www.jnjgateway.com/public/USENG/6950MONOCRYL_poliglecaprone_25_Sterile_Synthetic_Absorbable_Suture.pdf

http://www.jnjgateway.com/public/USENG/7025PDS_II_polydioxanone_Suture_Dyed_and_Clear_Monofilament.pdf
 


nybor7 said:
BJB-LMP said:
-- maybe Robyn will weigh in on this too.

Happy to.
It, for me will be about 4-6 weeks post op. Unless you plan to treat her chest area as a local CX. Ex: she could have legs, side work etc. No work on pecs ant chest muscles, and no lying prone until tolerated.

It seems like the general consensus here is to wait at least 4-6 weeks. After reading all of these posts I called my colleague back and asked a few more questions. It turns out that this woman had her surgery 2 1/2 weeks ago and it most definitely was her doctor who recommended that that she receive massage on the scar tissue.

I would also appreciate it if you could please explain to me exactly what you mean by "local CX." The medical terminology references I checked had Cx as either an abbreviation for cervix or for chest x-ray film. Thanks.
 


I believe it's used in this instance as "Local Contraindication."
But I could be wrong... :roll:
 


wow - you are all so smart! the way you jumped right into this topic and shared all of that information was great! i was just eavesdropping on this but i wanted to tell you all how smart you are! :) it's great to have a community like this
amanda
 


maestra said:
I believe it's used in this instance as "Local Contraindication."
But I could be wrong... :roll:

Thanks! I think that you are probably correct. In the context that "local CX" was used, it makes sense that it would mean "Local Contraindication."

I don't recall ever seeing CX used as an abbreviation for contraindication and I would be curious to know the origin of this use. I just did another "Google" search, this time for "CX + Contraindication" and after taking a quick look at the sites that came up on the first page it looks like many of them discuss child birth issues and are using CX as an abbreviation for cervix.
 


livingwell said:
wow - you are all so smart! the way you jumped right into this topic and shared all of that information was great! i was just eavesdropping on this but i wanted to tell you all how smart you are! :) it's great to have a community like this
amanda

I echo your sentiments completely amanda. It is fantastic to have a community like this with so many knowledgeable massage therapists who are so willing to share such useful information with colleagues who are scattered all over the globe. 8)

One of the things that is so great about being a massage therapist, but at the same time so challenging is that there is always something new to learn. Perhaps if I got a call last year about working with someone who had breast implants I might have just said I didn't have enough experience and passed. Now that I have access to this wonderful MassagePlanetL resource I'm more open to working a bit out of my comfort zone and doing a little extra homework online to prepare for working with new clients.
 


Hi, yes CX was for contraindication. It was meant to be CI.
I am moving soon and putting in way too much OT..sorry, I was tired and trying to type as fast as my mind would allow.

Scar massage is BENEFICIAL...AFTER the remodeling phase.

Robyn


some info on seforum.xxxes of wound healing
http://www.medicaledu.com/phases.htm

http://www.breasthealthonline.org/cgi-bin/mwf/topic_show.pl?tid=48926

http://www.clinicaltrials.gov/ct/gui/show/NCT00175344

http://www.rehabpub.com/features/892001/3.asp
 
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  34. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Judy๐Ÿ˜˜๐Ÿ”ฅOur new Asian massage girl Judy is a vision of refined sensuality, with a graceful figure and smooth, flawless skin that radiates warmth and allure. Her striking black hair frames her delicate features, and her poised
  35. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธVivian๐ŸŒธAnna๐ŸŒธHellenCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  36. wonderspa:
    wonderspa: wonderspa: ๐ŸŒบwelcome to wonder spaโ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒ. 4young beautiful girls working everyday(open long weekend),Ensuit shower available ๐Ÿ…,new friendly nice girl CiCi,providing oil deep tissue to relax massage and nice body slide,back work.more experience ,๐Ÿ…nice Vietnamese Amy very beautiful face,open maid,relaxing tension release,really popular girl,must try๐Ÿ”ฅ๐ŸŒน๐ŸŒน
  37. wilson holistic centre:
    ๐Ÿ’•๐Ÿ’•Beautiful Korean girl working at 382 Wilson Ave ๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-840-0071โค๏ธโค๏ธ
  38. ForeverWarden:
    Saturday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cherry Sara,Tracy & Cindy. Sara is young & slim with nice C Cups, trim waist, sexy bum and long hair. She is vary friendly uses her assets well. Cherry is slim and very beautiful, can deliver a great service experience. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed
  39. AliceSpa:
    SATURDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 4915 Steeles Ave. E, Scarborough 416-298-0898 [/color] Alice spa has 3 attractive honeys today. Open 10am to 9pm: CLOUDIA is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. SHERRY : is a taller busty
  40. ใ™ใฟใพใ›ใ‚“:
    BESTU WELLNESS
    Yumi , โ€ŠMonicaโ€Š , Rachel , Lilly at BestU WELLNESS.
    CALL OR TEXT โ˜Ž๏ธ: (437) 830-0913 TO BOOK YOUR APPOINTMENT.
  41. HolidaySpa:
    Saturday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: AMY & MAGGIE. AMY is an attractive young lady with larger breasts and a nice bottom. She has outstanding oral skills, and is very popular. Donโ€™t miss out on her special skills! Maggie is sweet, slim and very talented. ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…HOLIDAY SPA๐ŸŒ…๐Ÿ˜Ž๐ŸŒด 3517 Kennedy Rd, Unit 4 (Kennedy Rd & Steeles Ave E)
  42. SugarLoveSpa:
    Saturday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LINDA, LUNA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York. LINDA is a beautiful young Asian mix girl, 60Kgs with big D Cup boobs with pointy nipples, very friendly, bbbj and many services. LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. SARA is beautiful
  43. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ฎ๐Ÿ‡ณ AISHA, ๐Ÿ‡ป๐Ÿ‡ณ CICI (2PMโ€“2AM), ๐Ÿ‡ญ๐Ÿ‡ฐ JOJO (9PMโ€“2AM), ๐Ÿ‡ป๐Ÿ‡ณ MIKA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (9PMโ€“2AM), ๐Ÿ‡ญ๐Ÿ‡บ VANESSA ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  44. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ JULIE ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  45. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ต๐Ÿ‡ญ MADY, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ญ๐Ÿ‡ฐ JOJO ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  46. bnwellness_wilson:
    We have 4 young girls are working today, young sweet Michelle 25โ€™s with big buttocks open mind and sexy flirty Yoyo 36DD with curly body 30โ€™s open mind, young pretty popular Kitty 26โ€™s with curve body open mind and cute GFE Lina are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  47. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sexy girl Suki deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  48. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga Today we have two waitresses: Water and Mia. Water is young, beautiful, sexy, fluent in English, and good at massage. Mia is tall, plump, sexy, and has first-class massage skills. She is conscientious and responsible in her work, and has many repeat customers.
  49. Lulu_Villa_Spa:
    Mia new Vietnamese sweetheart girl with amazing personality Suki From Taiwan, sweet girl Bella She is Mexican Gorgeous face Yuki Sweet Singaporean Girl Cici Cute Vietnamese Gir โ˜Ž๏ธ647- 446-0886
  50. DareDevil:
    Blackpink Wellness โ™ฅ๏ธโ™ฅ๏ธ90 Marycroft Ave. Unit #2, Vaughan, โ™ฅ๏ธโ™ฅ๏ธON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: ๐ŸŒน๐ŸŒนSuperstar Lisa, Sexy Indian Girl Radika and Beautiful Tiffany on duty๐ŸŒน ๐ŸŒน
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