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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  37. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  38. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Monday ๐Ÿ’œ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” Top Star Jenny, ๐Ÿ†• Elsa, Coco, Eva, Cindy, Kelly, Amber, Busty Echo, Yoyo, JPN Yui & Juliet โ€” ๐Ÿ๐ŸŽˆ Hit up 647-695-6354๐Ÿค™ or text to ๐Ÿ“ฑ647-578-8169 โœจ160 East Beaver Cr., Unit 12, Richmond Hill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits๐Ÿ™Œ
  39. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  40. wonderspa:
    wonderspa: ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,๐Ÿ’„sexy very young girl Mimi๏ผŒlong legs ,natural c cup,very good looking amazing massage nice body slide,really popular ๐ŸŽlong hair mina smile,very good looking ,strong to relax oil ,back walk,more experience โค๏ธvery sexy Vietnamese girl Amy,open maid,amazing the end,really popular,must try๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿฅคall awesome massage ๐Ÿ‘๐ŸŒน๐ŸŒน
  41. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSamy๐ŸŒธPriya๐ŸŒธLynda๐ŸŒธAletta๐ŸŒธIsabella๐ŸŒธIvy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  42. DareDevil:
    366 ARIA WELLNESS โ™ฅ๏ธโ™ฅ๏ธADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 โ™ฅ๏ธโ™ฅ๏ธ(PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : New young RMT student Helen, Fun girl Apple, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! SPECIAL PROMO 30 MINS 2 GIRLS $70 ๐ŸŒน๐ŸŒน**TODAY'S PICKS OF THE DAY ARE ๐Ÿฌ๐Ÿญ APPLE AND HELEN๐Ÿฌ๐Ÿญ**
  43. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธCarly๐ŸŒธBrandy๐ŸŒธKellyCall 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
  44. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡จ๐Ÿ‡ด MEGAN (8PM), ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM), ๐Ÿ‡ป๐Ÿ‡ณ JESSIE ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  45. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  46. 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‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ NANCY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  47. SpringGreen.:
    Today we have 5 girls on downtown Toronto 72 gerrard st west๏ผš๐Ÿ’‹๐Ÿ’‹ New girl Hitti very young๐Ÿ’‹๐Ÿ’‹Lisa- Tanned Spanish beauty with large melons and a fun booty too minica- exotic goddess with a gymnasts body and corresponding flexibility Jennifer- Exotic beauty with... Call and text 647 891 0699 ask question :heart4 :heart4 :heart4
  48. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  49. AliceSpa:
    3 Sexy Young Girls Today at Alice Spa. Open 10am to 9pm : CLOUDIA (12pm-9pm): 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. SKY (10:30am-9pm): is Part time girl from Indonesia, petite 5'2", B Cup, 100 Lbs, long black hair, new to the biz.Young, fresh/cute, pretty, submissive, slim tiny waist, fair skin. bbbj
  50. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™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: Bella, Yumi & Cindy. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Yumi is a young half Chinese / /half Korean very sexy & slim beauty, can do bbbj cim, excellent services...
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