Sounds like nerve irritation and it will resolve

Richard P. Rand, MD answers: 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?

Richard P. Rand, MD
10 months ago

The nerves that give your chest skin its feeling exit the rib cage along the border of the sternum and come up through the armpit. These nerves are commonly irritated for a few months after augmentation especially as you position yourself to where the implants will roll against the sensitive nerves. This almost always goes away and shouldn't be a cause of concern. Of course, check with your surgeon to be sure!

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A: Your pain could be related to the surgical technique

George Marosan, MD
10 months ago

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.

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