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 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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See your surgeon for a better diagnosis

You should see your surgeon for a physical examination, as it is difficult to give you a proper diagnosis. However this could be nerve regeneration if you feel tingling or burning, and this generally resolves in the weeks and months following surgery. It could also just be pain associated with the trauma of surgery, since you are still recovering from surgery.

Air pressure changes do not affect implants, therefore you don't have to worry about damaging them while flying.

Avoid painful activity

Pain on one side more than the other is a very common finding, especially this early after surgery.  Try to refrain from activities that provoke the pain and eventually it will subside.

Pain 2 months later

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.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 76 reviews

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

Ankit Desai, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 16 reviews

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

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

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.

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 29 reviews

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.

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
5.0 out of 5 stars 62 reviews

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.

Bruce K. Barach, MD
Schenectady Plastic Surgeon
4.5 out of 5 stars 12 reviews

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.