How Long Do Breast Hurt After a BA?

I have 425 saline mod profile unders in both breast. My right is filled to 450 and left filled to 490. Its been eight weeks since surgery and my left is still pretty sore. The implant is feels a little to overfilled and my crease is a little lower then the right. It hurts in the lower part of my breast along with my ribs on that same side. My right feels good, no pain or soreness. Is this normal and how long will it last?

Doctor Answers 8

Breast pain after breast augmentation is unusual at 8 weeks after surgery

Thank you for your question. Typically pain after breast augmentation is mostly resolved after 3-4 days with sub-glandular augmentation and by 10-12 days after sub-muscular breast augmentation. Please see your plastic surgeon for an examination and ask the surgeon if he or she detects any abnormality that could be causing pain. If the breast that hurts feels tighter or firmer than the other side and could be a capsular contraction forming.

First 48 hours are the most uncomfortable!

It’s not unusual for patients to experience pain following breast augmentation surgery.This pain is usually related to elevation of the muscles during submuscular breast pocket formation.In addition, spasm of these muscles can contribute to post-operative discomfort as well.
The pain associated with breast augmentation is severe in the first 24 to 48 hours following surgery, but rapidly diminishes with time.We typically use a synthetic codeine derivative called hydrocodone which has a decreased incidence of nausea compared to codeine.We replace narcotic pain relievers with Tylenol as soon as possible following surgery to avoid the potential for drug problems.We also use muscle relaxants in the immediate post-operative period.
Pain tolerance varies from patient to patient following breast augmentation.If you’re considering this procedure, it’s important to discuss pain management with your surgeon prior to surgery.

Recovery After Breast Augmentation

Thank you for your question. I am sorry to hear about your discomfort. I have included some typical expectations of breast surgery recovery and signs to watch for following breast augmentation:

  • Stiffness, swelling and bruising in the chest region: These are normal experiences as the skin, muscles and tissue heal. Pain medication and muscle relaxants will help you cope with any discomfort. Consistent sharp pain should be reported to your board-certified surgeon.
  • Hypersensitivity of nipples or lack of sensitivity: This is normal and will gradually resolve over time.
  • A mild to severe itchy feeling of the breasts is possible as healing progresses. An antihistamine like Benadryl can help to alleviate severe, constant itchiness. If the skin becomes red and hot to the touch, contact your board-certified surgeon immediately.
  • Asymmetry, the breasts look different, or heal differently: Breasts may look or feel quite different from one another in the days following surgery. This is normal. No two breasts in nature or following surgery are perfectly symmetrical.
  • Discuss returning to work with your board-certified surgeon, in our office it is typically 3-5 days post-surgery but you may not overexert yourself or do any heavy lifting.
  • You may resume exercise and your normal routine at six weeks unless your surgeon advises otherwise.
I suggest following up with your board-certified plastic surgeon if you are experiencing a lot of discomfort. They will be able to evaluate your breasts and determine next steps. Best of luck!

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 30 reviews

Depends on patient

It is common for patients to feel pain after their surgery, however it is usually well controlled by prescribed medication. It takes about 3-4 months for the breasts to settle and become more natural in contour, so please wait until then to assess your results. Pain should gradually resolve itself over this time as well, although you should see your surgeon if you are very concerned.

Breast Implant Surgery

Pain is a very personal thing and everyone experiences it differently. I think the first week should be sore, the second week should be a nuisance and after that certain movements should cause pain

How long should I hurt after a Breast Augmentation?

You will typically experience pain from 1-4 days, you may have some residual muscle spasms for a few weeks though. Typically the swelling resolves in 6- 8 weeks. I tell my patients to wear a bra for support for the initial 6 weeks and that should help with your discomfort as should your post-operative massages. If you continue to hurt more than you expect please follow up with your surgeon ASAP.

Jonathan Weiler, MD
Baton Rouge Plastic Surgeon
5.0 out of 5 stars 37 reviews

Breast discomfort after implant surgery

It is quite common to have some discomfort after breast augmentation surgery. It usually improves over a week or two but can last longer.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Pain after Breast Augmentation?

Thank you for the question.

Discomfort after any type of surgery will vary from one patient to another depending on many factors including patients' pain threshold, the exact procedure performed, the amount/extent of dissection necessary, surgical technique…

The majority of patients who undergo breast augmentation surgery have significant discomfort for the first 2 to 4 days after surgery.  This discomfort (and requirements for pain medication and muscle relaxant) decreases rapidly on a weekly basis.

Given that your breasts is still “pretty sore” after 8 weeks,  you may want to follow-up with your plastic surgeon for evaluation. He/she will be in the best position to advise you.

Best wishes.

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.