How Painful Was Your Breast Augmentation with Under the Muscle Placement?

Thank you for your question. There are many things that can make your post-operative pain tolerable:1) Injectable numbing done at the time of surgery (some can last for several days)2) Muscle relaxants so your muscle is not as tense3) Narcotics to help address pain. Usually more effective if you stay ahead of it4) Non-narcotic medications (e.g. anti-inflammatories such as Advil)You often find that discomfort does correlate with size of the implant and the degree of stretching of the soft tissue of the breast.

The pain from sub muscular breast augmentation moderate, and can be easily controlled with postoperative pain medicine.  Most patients feel well within the first week.  Some are well within a day!

Thank you for your question. After Breast augmentation surgery, patients are often quite sore, but everyone experiences pain differently. The pain from breast augmentation is due to the stretch of the muscle. It is musculoskeletal soreness and is easily controlled with narcotic pain medication. Most patients are off narcotics within 3-4 days after surgery.

Pain after gummy bear (silicone) implants is variable in women and can be affected by things such as a persons natural pain tolerance, the size of the implants, the tightness of the chest muscles and the use of post operative local anesthesia. The larger the implant, the larger the pocket that must be made under the muscle and therefore, the greater the post operative pain. Many women who work out their chest regularly will have really developed pectoralis (chest) muscles. Big pec muscles seems to cause more post op pain. I regularly inject a large amount of local anesthesia into the muscle pocket to give women several hours of pain relief. My patients will then go home and begin taking their post op pain meds and ibuprofen along with ice. Many of them will report that they are off pain meds and just taking ibuprofen by the second day. 

Hello! Thank you for your question! Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. In general, implant size does not correlate with cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size or implant size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Your breast width is the most important measurement. Things to to consider during your consultation, which your surgeon will discuss with you, include implant type (saline vs silicone), shape/texturing of implant (round vs shaped/textured vs non-textured), implant position (sub pectoral, subglandular, or subfascial), incision (inframammary fold, periareolar, axillary, or TUBA), and size of implant. This can be performed with/out a breast lift, which would serve to obtain symmetry in breast size or nipple position as well as improve shape. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory. I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Too large of implants for the woman often destroys the breast pocket and breast shape, thus creating an oft seen uncorrectable problem later. Very slightly less tissue may be visualized with subglandular implants, but not very significant.  You will likely have more discomfort from the liposuction that the augmentation.Implants may be placed either in the subpectoral (beneath muscle) or subglandular/subfascial (above muscle). Both locations are excellent and you can choose either one - your surgeon will discuss the pros and cons of each. In general, while a placement above the muscle is a more natural position for an implant to augment the actual breast, I find that it is not desirable for very petite women or women with a paucity of breast tissue - as the visibility and potential rippling seen/thinning of tissue may give a suboptimal outcome. A subpectoral pocket adds additional coverage of the implant, but causes slightly more and longer postoperative pain/swelling as well as the potential for animation deformity with flexing of the muscles. Today, there is no virtually no difference in rupture rate, capsular contracture rate (slightly higher with subglandular as well as certain incisions), and infection with the positions. As you see, there are a few factors to decide upon for incision, placement, and implant type/size. Consult with a plastic surgeon who should go over each of the options as well as the risks/benefits. Hope that this helps! Best wishes for a wonderful result!