Pain in Right Breast After Augmentation

I had breast augmentation two months ago. I still have pain in my right breast, near to the breast bone area. At night if I sleep on the right side, or if I sleep on my back for long time, the pain will appear. Mornings, I have this complain for few hours and then it's fading until gone. When I press the painful area, it hurts more, but I dont feel any difference in touch from the other breast. Also, I'm a flight attendant and I'm afraid that the pressure will damage my silicone implants. Any advice?

Doctor Answers (15)

Pain 2 months later

+1
Can you put one finger on the area that hurts? Do you have a "zinging" sensation when this spot is touched? If so, you may have scarring of one of your sensory nerves. If not, make sure to rule out other medical causes of pain. Either way, you should see your surgeon to discuss these concerns and get to the bottom of it.


Los Angeles Plastic Surgeon
4.5 out of 5 stars 66 reviews

Pain after Breast Implant Surgery

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You should consider other more serious causes of chest pain. If you are in good health and have no other causes of pain like heart related pain, reflux, costochondritis, or peptic ulcer disease, you may have pain related to irritation of your nerves. Neuropathic pain or nerve related pain maybe caused by irritation or scar tissue or maybe a pressure related phenomenon. Rest assure, there are several treatments for pain due to breast implants. If you do have pain, begin massage to the area of pain to help desensitize the area. If at least 6 months and preferably 12 months have passed after your breast implant surgery, some modalities that may help resolve your pain are:

1. Local Steroid injection to area of pinpoint pain

2. Flector transdermal NSAID patch

3. Intercostal nerve block

You should consult with your plastic surgeon to determine what is most appropriate for you and your particular signs and symptoms. Good Luck, Ankit Desai, MD - Jacksonville Plastic Surgeon

Ankit Desai, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 11 reviews

Pain two months after breast augmentaton

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AT two months after breast augmentation, the pain should be subsidign rather than persisting. I would discuss this with your surgeon

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 43 reviews

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Pain after breast augmentation

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Pain in the area around the sternum (breast bone) can still be present 2 months after breast augmentation.  When implants are placed under the muscle, some of the lower attachments of the muscle to the sternum may have to be released.  Depending on the amount of release, the pain in this area can last longer.  I would discuss it further with your plastic surgeon to ensure there is no other problems.  Flying with implants is okay and there should be no damage to your implants.

Naveen Setty, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 19 reviews

Early pain not uncommon; Flying with implants OK

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Pain 2 months after breast augmentation is not unusual and is usually best treated with anti-inflammatory medications such as Advil/Motrin and time. You should see your plastic surgeon so that he is aware of your situation and can make sure you improve over time. Flying will not damage your breast implants.

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
5.0 out of 5 stars 50 reviews

Should get better, no problem flying with implants

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There are many possible causes of discomfort like you describe and in almost all cases, the problem will go away with time. It could be a few more months however. you should get a check up with your surgeon and discuss this just to be sure that all is well.

Bruce K. Barach, MD
Schenectady Plastic Surgeon
4.5 out of 5 stars 11 reviews

Your pain could be related to the surgical technique

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Most surgeons use a cauthery to control muscle bleeding during the dissection of the muscle off the breast bone and the ribs to create a pocket for the implant. I personally use the tumescent technique when I do my disection to minimize the use of the cauthery. If one encounters a muscle bleeder close to the breast bone and uses the cauthery at a high setting, it can irritate the periosteum and perichondrium (the tissues covering the bone and cartilage). This can lead to an inflammation and excess postoperative pain in that area and this can last from a few weeks to a few months before complete resolution.

Antiinflammatory medication like Motrin, Celebrex, etc. can help with pain and reduction of the inflammatory process. Flying will not affect your implants.

George Marosan, MD
Bellevue Plastic Surgeon
5.0 out of 5 stars 9 reviews

Sounds like nerve irritation and it will resolve

+1

The nerves that give your chest skin its feeling exit the rib cage along the border of the sternum and come up through the armpit. These nerves are commonly irritated for a few months after augmentation especially as you position yourself to where the implants will roll against the sensitive nerves. This almost always goes away and shouldn't be a cause of concern. Of course, check with your surgeon to be sure!

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Pain not uncommon

+1

Some level of her discomfort is normal after breast augmentation. It's not, for many women to have more on one side than the other. This does not necessarily indicate a problem. Quite often, pain is worse on the patient's dominance side probably as a result of using that particular arm more than the other. I would expect your discomfort to continue to improve over the next few months.

I would encourage you to discuss your concerns with your surgeon, however, to be sure there are no other issues to be addressed.

Mitchel Krieger, MD
Fairfax Plastic Surgeon
4.0 out of 5 stars 2 reviews

Breast pain

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Breast pain after having implants is fairly common. best thing to do is to check with your doctor.  A physical exam by your doctor is appropriate to evaluate this issue

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

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.