After Breast Augmentation with Mastopexy, particularly when the implants are placed behind the muscle, it is not unusual to have moderate pain which may be worse on one side than the other, even though the same operation was done to both breasts. What you perceive as severe pain might be perceived as less-painful (or excruciatingly painful) by a different patient, so there is no "normal" amount of pain. I prescribe very strong pain medications as well as muscle relaxants or Valium for my post-operative patients, and I allow them to adjust the doseage according to their pain threshold. The goal is to avoid pain as much as possible, while minimizing the side-effects of the pain medications.
Severe pain may indicate a problem like bleeding into the space around the implant, or possibly infection, and for this reason, you should see your surgeon to make sure that your healing is progressing as expected. By two weeks post-op, most of the serious pain shoud be resolved.
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