How Common is Chronic Neuralgia After Breast Augmentation?

I'm 2 months post op from submuscular augment. Have had 24/7 pain in right breast since. Pain varies but is generally significant, 7/10. My surgeon has given me several nerve blocks and has indicated this may be permanent, however offerred no other solution or relief besides the blocks. I can't find any info or literature on neuralgia w/augmentation, only mastectomy. Please offer some insight!

Doctor Answers (3)

Chronic pain after breast augmentation

+1

Hello,

It is pretty rare. Although I have not had any patients with this problem I would not recommend a mastectomy.  What pain you are having is likley to be coming from the muscle component.  When breast reconstruction was performed about 10 years ago with tissue expanders and implants they were partially placed under the serratus muscle laterally and this caused some patients to have chronic pain.  It may be that a portion of this muscle was also partially raised during your surgery.  A surgical exploration may be warranted if the pain does not improve as this can be corrected suturing the serratus muscle back down.

All the best,

Dr Repta


Scottsdale Plastic Surgeon
5.0 out of 5 stars 89 reviews

Chronic neuralgia after breast augmentation

+1

We have not seen chronic pain syndromes after breast augmentation, and we did a quick search as well to see if we have missed something, and no, there is no literature on neuralgia from breast implants or breast augmentation.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

How Common is Chronic Neuralgia After Breast Augmentation?

+1

Re: "I'm 2 months post op from submuscular augment. Have had 24/7 pain in right breast since. Pain varies but is generally significant, 7/10. My surgeon has given me several nerve blocks and has indicated this may be permanent, however offerred no other solution or relief besides the blocks. I can't find any info or literature on neuralgia w/augmentation, only mastectomy."

Painful neuralgia after breast augmentation is very rare. I have a busy breast practice and cannot recall encountering such a complication in all my years of training. Your surgeon may want to enlist the help of a Pain specialist to try treating you for your painful neuralgia as well as see if it can be localized to a specific area where you MAY have a neuroma (painful cut nerve tumor) which may be treated with radio frequency or ablative injections.

 

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 60 reviews

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