Tightness and Discomfort After Breast Augmentation

I am 24 days post breast augmentation with mastopexy for the left breast. When I bend down, I still feel pressure or discomfort. Is this normal and will it go away?

Doctor Answers 24

Mastopexy and pressure

 Bending over after breast surgery increases your blood pressure and will cause throbbing or discomfort for several weeks.  Be patient, this most likely will go away over time.

Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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Discomfort, tightness normal after breast augmentation

Breast implants will press against the pectoralis muscle making your chest feel tight. Especially in healthy athletic patients, it will take time (2-3 months) before these feelings go away.

Robert M. Freund, MD
New York Plastic Surgeon
5.0 out of 5 stars 22 reviews

Discomfort will go away as nerves adapt to the implant

You may be experiencing a dyesthesia from the stretching of the lateral nerves. This is very common and can be positional. When you bend over you are adding stretch to the nerves. This is usually described as a burn or deep ache sensation. Light massage helps but this will go away as the nerves and breast tissue adapt to the implant.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Discomfort and tightness normal after Breast Augmentation


Have patience. You are only 3 weeks out from your surgery. Discomfort and tightness are common after breast augmentation and mastopexy. Your tissues will relax and soften over the next few months. Good luck!

Tightness and discomfort after augmentation can be normal

I would like to echo what the other doctors have said, and add that if you are pre menopausal, you may feel more discomfort during your menses--especially if you have PMS.

Barry H. Dolich, MD
Bronx Plastic Surgeon
4.0 out of 5 stars 1 review

The tightness will resolve with time

Having some discomfort and tightness with movement after breast augmentation/mastopexy can happen and is normal. For most women, this will resolve over the course of a few weeks.

Discuss with your surgeon what he or she would like you to do over the next few weeks to help the implant settle and the scars soften. I wil usually have my patients begin massaging the breasts as well as the scars at about 2 weeks after the procedure-- I find this not only helps the implants settle and the scars fade, but also reduces the discomfort that some patients have.

Overall, sounds like you're healing normally,

Dr. Salemy

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 114 reviews

Too early to worry

At 24 days after surgery you are too early to worry.  You had a big surgery, you must allow it to heal.  Be very careful with your physical activity until the pain subsides.  Do not push through the pain.

Normal but if concerned, please see your surgeon

You may feel some discomfort and pain after breast augmentation and mastopexy, but this is generally well controlled by pain medications. It is normal to feel discomfort and this can last for a couple of months following surgery. Please ask your surgeon for medication to help your recovery and to make sure it's normal if you are very concerned. Best of luck! 

Tightness after breast surgery

This is normal - not to worry. Try squatting down by bending your knees instead of bending at the waist for the first few months or until the discomfort is completely gone.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 77 reviews

Managing Swelling & Recovery Following Breast Augmentation

It’s not unusual for patients to complain of tightness of the chest following breast augmentation surgery. This tightness is related to spasm of the chest wall muscles and swelling of the adjacent soft tissue. It’s more common when implants are placed beneath the muscles, but can occur with sub glandular placement as well.

         In an effort to minimize these symptoms, a variety of strategies have been utilized. Swelling is managed with compression devices and support bras. Although swelling can be significant in the early post-operative period, it tends to resolve rapidly.

         Chest wall tightness can also result from spasm of the chest wall muscles. When this occurs, muscle relaxants and massage are helpful. Massage of the back helps relax the anterior chest wall muscles. These muscles are connected by layers of fibrous tissue and for this reason; massage of the back can help alleviate spasm in the frontal muscles which cover the breast implants.

         With time, these symptoms improve and patients are ultimately happy. If you have tightness following breast augmentation, make sure you discuss the issue with your plastic surgeon.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.