Nerve pain after mommy makeover?

Question

I had a Mommy makeover on 10/16 and since 2wpo Im having pain in my side/under left breast. Saw my ps and he's not concerned said it's nerve pain. I was put on GABAPENTIN last week. 100mg 3xs a day but it was making me feel loopy. So he said 100mg at night for a week but still having this like burning gnawing pain. So today at my po visit he said do 200mg at night now. How long does nerve pain usually last? When should I begin to feel relief ? Is this normal?

Andrew T. Lyos, MD, FACS · Answer

Thank you for your question.It's possible that you are having nerve pain that often can take up to three months to resolve. I would not advise performing upper body exercise for 12 weeks and when you do, ease into it slowly.  Typically, the more you strengthen your pectoral muscles the implants can possibly be pulled up into an unnatural and possibly uneven position. Andrew T. Lyos, MD, FACS            Tweet

Robert M. Tornambe, MD · Answer

bentley3665.   So sorry you are having this problem.  The nerve pain you are having may be secondary to small sensory nerves re-attaching after being separated during surgery.  Numbness in these regions can be replaced by pain as these nerves come back together, returning sensation to normal.  It can take up to 6 months to subside.  In the meantime, ask your plastic surgeon about anti inflammatory medications, as they may be more effective and do not cause drowsiness.  Hang in there!

Nelson Castillo, MD · Answer

Thank you for your excellent question.  After an augmentation the nerves of the skin are stretched as a result of swelling and the increased volume of the implants.  This stretching irritates the nerves which can cause a number of different nipple and breast skin sensations including increased/decreased sensitivity or a burning/electrical feeling.  These normally resolve spontaneously given enough time.  Hang in there and be sure to mention these issues to your surgeon during your post-operative appointments so they can track your improvement over the next 6 weeks to months

Michele A. Shermak, MD · Answer

Hello!The nerve pain is likely related to sutures tightening your abdominal muscles. If there is focal pain, sometimes this can be injected with steroid solution and have incredible results. Also be mindful about your diet and foods that may cause bloat which stretches your abdominal muscles. Gabapentin is not well tolerated by everyone. You may want to try ibuprofen or naprosyn. Continue your dialogue with your surgeon - that's your best bet!

Camille Cash, MD · Answer

Nerve pain typically resolves as the tissues heal, swelling resolves, and things settle.  Sometimes that can take three months or more.  I encourage you to continue to follow the advice of your plastic surgeon.  The medication prescribed should be helpful.

Gary L. Ross, MBChB, FRCS · Answer

It sounds like you are being advised appropriately by your PS. Often it can take a number of months for sensations for this to settle. Massage often can help and be careful about the garments. Anti inflammatories can also help but run these by your PS.

Nerve pain after mommy makeover?

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