The pain one has after breast reconstruction can be due to contracture of the capsule around a breast implant or from contracture of the overlying tissue. In either one of these cases, the scar tissue would need to be excised and surrounding tissue mobilized to allow more freedom of movement.
The problem can also be due to injury to one of the nerves supplying sensation to the breasts. If the nerve itself has been injured and is regenerating,the pain will be temporary and would eventually resolve. If the nerve is enmeshed in scar tissue, it will have to be dissected out and possibly repositioned so that it is in a healthy bed of tissue. The nerve itself may have to be destroyed causing a loss of sensation to the area that it supplies, but at the same time alleviating the pain.
If the problem can be isolated to a pinpoint area, then injecting with a small amount of local anesthetic and steroid solution may alleviate the condition and give you an idea of the source of the problem.
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