pain

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: 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: 500CC, Under Muscle, Saline Implants: Is my Right Breast Bottoming Out?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:15

I had my BA surgery done on 3/16/2011. I have saline and placed behind the muscle. Rt 500 cc Lt 475 cc, Right after the surgery I experienced a lot of pain in my abdominal area. After one month of the surgery, I have still disconfort on my right breast (bottom part).

I would like to know if my breasts are bottoming out? and also if they look too low.. I can feel the bottom of the implants in both side.

A: Not bottoming out on photos

There is no evidence of bottoming out on your photos. It is normal for the lower edge of the implant to be more palpable as the thinner breast tissue provide less coverage over the implant.

Q: Reason for Pain and Constant Discomfort in Breast?

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:42

August will be 2 years since I have had my breast augmentation. I chose silicone implants. Since then, my left breast has had painful sensations along with tingling, burning, itching, sharp pain in my nipple, and basically nonstop discomfort.

I have check with both my surgeon and general dr about this but neither seem to think it's a problem. I have had a mammogram/ultrasound done and both came back normal. I can't continue to live with this pain and constant worry about what could be wrong.

A: It is always a challenge treating pain

2 years of pain is not normal. A reevaluation to identify the root cause would help. If all else is normal, it is probable that your persisting symptom is from nerve injury. Implant removal does not reliably decrease pain. While you may consider the option of implant removal, there is no certainty in its effectiveness in managing intractable breast pain.

Q: Breasts Don't Look Right After Augmentation

Submitted by Q-A from clee on Fri, 05/13/2011 - 10:22

I had PS breast augumentation and lift in July 2010 with basically same results as pictured. Flew to PS in January 2011 b/c he said implants needed to be "dropped" in place. He opened me up, found tissues around nerves- oh! so, the intense pain I'd had WAS real, and also ended up re-doing the lift.

Now,PS sees results of recent (March 2011) photographs, and says I just need to come in and have the implants dropped! I think it's more complicated. SOMETHING IS NOT RIGHT!

A: Your subpectoral placement of implants has made the condition worse

A revision of the mastopexy alone will not be sufficient. At best it will temporarily help until this soon returns. More predictable in outcome wound be to exchange the implant into a submammary plane along with a redo of the mastopexy. This would be best managed with a silicone cohesive implant.

Q: Pain when Wearing a Bra Post-op

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:23

20 days post-BA (250cc silicone moderate profile unders inframammary). At 14 days with surgical strap I felt the implant edge on the left breast. My PS said to stop wearing the strap and try a supportive sport bra. The sport bra hurts: muscle spasms, tightens up, feels like 'let down' when breast feeding. Some numbness and tingles. Have tried different bras. Am massaging. The muscle is tight and ROM is limited on left side. Sensitive to touch. Can feel the implant over most of the left breast.

A: Common with subpectoral implant

What you are experiencing is very common after subpectoral implantation. I am not fond of massages with textured implants under under the muscle as it may increase your symptoms and does not decrease capusules from forming. Your implants appear to be well positioned so the need for any type of external bra or straps is unnecessary. Just use what makes you comfortable and time will take care of the rest.

Q: Healing After Augmentation: Consequences to Not Taking Required Downtime?

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:54

What are the consequences of not taking the recommended time to heal after a breast augmentation? I had surgery 3 weeks ago, by week one I wasn't in a lot of pain and was back to minimal house work and taking care of small children. At week two I had no pain and was doing practically everything I have done in the past except for lifting heavy objects. Will there be any consequences for not following guidelines? Should I be concerned?

A: Once the implant is adherent and skin healed, the consequences are low

Once your implant is adherent and skin healed the consequences are low.  The following points will should be considered:

  1. Usually the skin is sealed by 5 days (can shower) but it takes 6 weeks for it to be durable for load (ie exercise)
  2. Easier to recover from subglandular than submuscular as muscle dissection painful and slightly higher risk of fluid collection around implant.
  3. Too much activity early after surgery causes implant movement and prevents adherence and increases risk of fluid collections or bleeding.

Q: 3 Months Post Breast Augmentation: Experiencing Pain

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:03

It's been a week now that i feel localized pain on my left breast (the pain is like a bruise). I feel the pain on the sides of my left nipple toward my left arm. I also feel the pain on the incision site after I wear my none wire bra (like there's a feeling of heaviness), every time I bend over (this time on the side of the left nipple again but extending medially) & when sleeping on my left side. Is this something serious or it's just a sign of drop and fluff? Thank you for the replies docs.

A: Scar maturation with more time will likely improve your symptoms.

If all else is normal and unchanged, then it is highly likely that your symptoms are a result of an immature scar.  The normal progress is for these symptoms to become progressively better with lower frequency and amplitude of discomfort.  Usually all symptoms resolve by 6 months.  If your discomfort deviates beyond these parameters, you should return to see your plastic surgeon.  He will be able to examine your breast to rule out other possible issues as well as provide you with insight on how to manage the discomforts during this period of scar maturation.