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?
Pain in Right Breast After Augmentation
Doctor Answers 18
Breast Pain after Breast Augmentation
It’s not unusual for patients to have pain following breast augmentation surgery. In the majority of patients this pain has resolved within 4 to 6 weeks of the procedure.
The type of pain that you describe has become progressively worse over time. The pain is also localized to the medial border of the sternum and is apparently worse when the implant presses against this point. These findings are consistent with irritation of the sensory nerves which lie along the medial sternal border. It’s also possible that the pectoralis muscles insertion along the sternum are inflamed as well. In most cases these problems improve with conservative management and the passage of time.
Under these circumstances, consultation with your plastic surgeon is appropriate. When progress is slow, non-steroidal inflammatory agents may be helpful. Examples include Motrin, Aleve, and Ibuprofen to name a few.
When this type of pain is persistent and doesn’t respond to these measures, consultation with a pain specialist is appropriate. Under these circumstances, patients should be evaluated for other causes of pain. Depending on the results of this evaluation, a variety of treatment options may be available.
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Air pressure changes do not affect implants, therefore you don't have to worry about damaging them while flying.
Avoid painful activity
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Pain 2 months later
Pain after Breast Implant Surgery
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
Pain two months after breast augmentaton
AT two months after breast augmentation, the pain should be subsidign rather than persisting. I would discuss this with your surgeon
Pain after breast augmentation
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.
Early pain not uncommon; Flying with implants OK
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.
Should get better, no problem flying with implants
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.
Your pain could be related to the surgical technique
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.
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.