Breast Augmentation Blog

Q: Upper pain on right breast when using muscle, 2 months post op is it normal?

Submitted by Q-A from clee on Mon, 09/05/2016 - 21:05

The top of my right breast is painful whenever I use my right arm. Ive had BA 2 months ago, under the muscles. My breast seem to Have dropped nicely but I can feel a hard spot on my muscle/ top of my breast. Whenever I lift something, open soirs etc its painful. Should I worry? Ive only started to sleep on my side few days ago. Also I Have upper pole fulness, can it still Go down after 2 months?

A: Your are still very early with spontaneous improvements still expected

Thank you for your photos and questions. The symptoms you describe are very common 2 months after submuscular breast augmentation. The breasts will continue to soften and the upper pole fullness improve. Be patient as these final changes may take another 4-6 months. Keep your surgeon posted on your concerns.

Q: Breast augmentation corrective surgery. Any suggestions?

Submitted by Q-A from clee on Mon, 09/05/2016 - 20:18

I had breast implants 420g. 14 months ago placed in front of the muscle, in the last 6 months they have flipped 3 times, my left one once and my right one twice. My surgeon has booked me in for surgery in 2 weeks to remove and replace my implants behind the muscle. Will this correct the problem? Will it change the appearance/ placement of my breasts? Thanks in advance.... Xxx

A: Details provided suggest you have had an anatomical shaped implant

Thank you for your question. The details provided suggest that you have had subglandular placement of textured anatomical shaped silicone implants. These implants are not round and result in abnormal shaped breasts when they rotate. Anatomical shaped implants are manufactured with textured surfaces to encourage tissue adherence to reduce likelihood of displacement.

If these assumptions are correct then many options that can be exercises to remedy the problem. In my opinion, replacing the implant with a round implant will essentially eliminate the problem abnormal breast shape since rotation of a round implant does not change the shape. Since rotation of a round implant is not problematic, it is my preference to use a smooth surface implant.

Site change of the implant to a submuscular position is especially important if you wish to downsize or replace with an anatomical shaped implant.

Q: Bleeding from incision in breast fold one week 2 days post op. How worried should I be?

Submitted by Q-A from clee on Mon, 09/05/2016 - 20:09

I've been bleeding small amounts for days from my incision. I can see a small yellow spot could that be the stitches showing through or more likely to be infection? I sent a photo to my PS but they have yet to get back to me. How worried should I be?

A: Spotting and discoloration of steri-strips is common

Light spotting with either red or clear yellow fluid under the steri-strips is common early after surgery. You should be fine waiting on your surgeon to reply if dressings are not saturated and there are no other unusual findings.

Q: Which sex act is denied after breast augmentation?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:50

hi i m a post-op transwoman.suppose my partner press by boobs, and take my boobs on mouth can it be break.if my partner press my boobs hard.so my breast break or not

A: When fully healed all activities of normal life including intimate acts are tolerated

Regardless of whether the breast augmentation is for a female or transgender person, an uncomplicated fully healed breast implant will tolerate all activities of normal life including that of intimate acts.

Q: Blisters under my steri strips! 2 peanut M&M size ones; what should I do?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:35

Had BA 4 days post. Placed through the nipple. Steri stops all around the nipple area and 2 big ones have formed. Called my doc and he said if they rupture just clean with water and keep area dry. But they seem to be growing. What should I do?

A: Many acceptable methods of managing blisters

Blisters near incisions following surgery may from tension, reaction to adhesives, and swelling. There are many acceptable methods of managing the superficial wounds. I would recommend you follow your surgeon's advice as he/she is most familiar with your particular situation.

Q: Constant scaly, dry nipples 3 months post BA?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:16

Hi, I had breast augmentation 3 months ago in Thailand and everything went smoothly. However for the past month and a bit my nipples won't stop peeling and are constantly dry. I've tried baby lotion, oil, paw paw and lanolin but nothing seems to work. Is this normal? And when will it go a way? a month and a half now is quite long

A: Worthwhile to have a proper medical opinion to eliminate assumptions

Thank you for your photo and question. The image provided does not suggest anything unusual. However, I recommend you have a proper medical opinion with a reputable doctor in your home location. A proper history and physical examination is wise considering you had your surgery abroad and more details about your personal medical history and details of the surgical procedure should be reviewed.

Q: I want to know if it's normal to feel extreme soreness 3 weeks post op and when I should expect it to go away?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:11

It's been three weeks since my breast augmentation procedure. I am worried that there is something wrong with my right implant because the inner part of my right breast feels very sore when I massage it and when I take deep breaths my right boob hurts. Also, right breast is very painful when I squeeze them together. My doctor 2 weeks post op said the right breast hurt more because I use my right hand more often then my left. My left breast doesn't hurt at all.

A: Submuscular breast augmentation can have extended periods of soreness

Submuscular breast augmentation necessitates division of the pectoral muscle along the inner lower portion of the each breast. This is often associated with post operative pain that varies in each patient and often differs even with right versus left breast. Most plastic surgeons manage symptomatic patients with regular examinations. In the absence of other findings symptoms usually subside spontaneously 3-6 weeks after surgery.

Q: How best to fix breast asymmetry after weight loss? Major constriction on one breast. (Photo)

Submitted by Q-A from clee on Tue, 06/21/2016 - 13:00

I have asymmetrical breasts (32 B and full C), with the left being constricted, or tubular. The nipples are the same size and shape and in the same location. I've lost 85lbs (from 217 to 132, at 5'5") and maintained it, and am ready to tackle this issue. I scar badly and would prefer not to do a lift if possible, unless it's my best chance at symmetry. I like the the shape of the right breast, but want implants to fill and correct. My skin is thinner, but still relatively elastic. Suggestions?

A: Would be reasonable to initiate treatment with breast augmentation

Thank you for the photos.  They are a good effort on your behalf to provide details of your situation but are limited in interpretation as the "selfies" usually position the arms in positions that exaggerate asymmetries.  Nevertheless, your photos provide a good deal of information.  I do not see any evidence of base constriction.  Your asymmetry is does show some difference in the vertical positions of the nipples.  I suspect an augmentation alone may adequately manage the volume disparity, however the nipple positional differences are  less predictable.  If the magnitude of your asymmetry on examination does not exceed what is visible these photos, I would recommend a breast augmentation and "save" the breast lift for scenarios where the outcome is less than expected.  Good luck in your endeavors!

Q: Pain 23 days post op. Should I go back to see my PS?

Submitted by Q-A from clee on Tue, 06/21/2016 - 12:38

I'm Still feeling pain in the lower side section of my breast 23 days post up. It's actually keeping me up at night now as it is quite uncomfortable. I'm trying to to do too much but I have a baby and so at times I have to lift her. Should I go back to see my PS?

A: Duration of pain and discomfort variable among patients

The magnitude of the symptoms you describe are more than I would expect at 23 days following surgery.  While this may still be within your normal healing response, it would be best to have your surgeon provide reassurance that all is well by scheduling a visit with him/her. 

Q: How to improve breast sensitivity, stop numbness in the nipple and make the area below it feel touch and changes in temperature?

Submitted by Q-A from clee on Thu, 06/09/2016 - 11:43

I went for a breast augmentation -2011(implants over the pectoral muscle/inframammary incision. I felt numbness under the nipple area and loss of sensitivity. After 1 year, no changes. I decided in 2015 to have the implants removed, but the surgeon ended up putting a smaller one not to make big scars or have a saggy breast. my scar is bigger now. I am looking on how to improve sensitivity (stop numbness in the nipple and area below it to feel the touch and changes in temperature.

A: Loss of sensation not likely to improve 5 years following breast augmentation

The nerves giving sensory innervation travel on the external (lateral) border of the breast.  These nerves are not easily seen and often suffer a stretch injury during breast augmentation from the pocket dissection and implant placement.  In the vast majority of patients, the nerves are intact but "stunned" (medically termed neuropraxia) and sensation returns to normal.  This sensation usually returns within 3 months but may require up to 18 months.  Persisting loss of sensation beyond 18 months suggests that the nerves have sustained a greater degree of injury with resulting permanent residual sensory loss.  Regrettably, implant downsizing / removal  are unlikely to alter the state of the nerve damage after your primary breast augmentation.  It would be worthwhile to discuss this prognosis in greater detail with your plastic surgeon.  Wishing you well.