The bigger implant size you go, is it true the more pain will follow?

Question

The bigger implant size you go, is it true the more pain will follow? If a women with b size implants wants to increase her size to c + implants would the pain, discomfort, and recovery be longer? If a women touches her breasts right after her surgery will she be in lots of pain because her breasts will be very tender?

Urmen Desai, MD, MPH, FACS · Answer

No, this is not true.  The degree of pain is no proportional to implant size.  Every patients responds differently.  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Brent Moelleken, MD · Answer

While there might be some temporary increase in postoperative pain due to large implants, the real pain is long term:  increased complication rates, increased redo surgeries, increased drooping, thinning of the skin and stretch marks that can accompany very large implants.

Stuart A. Linder, MD, FACS · Answer

Submuscular placement of either saline or silicone implants can normally lead to tightness and discomfort for the first few days. Ice compression with muscular relaxation medication and norco usually do the trick. Larger implants can cause more stretch with tightness and pain

Daniel Barrett, MD · Answer

Dear jessica,alba,postoperative pain doesn't depend only on a breast implant size. There is a lot of factors which can affect the pain level (type of surgery, surgery technique, pain medicines, etc.). With a good operative technique and postoperative management pain level can be well controlled. Daniel Barrett, MD, MHA, MS 
 Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Andre Aboolian, MD · Answer

Going larger may increase the chance of having more discomfort and longer healing but this is not always true.  What you have to worry about with larger implant size is the risk of having more surgery in the future.  Andre Aboolian, MD, Plastic Surgereon, Beverly Hills

Johnson C. Lee, MD · Answer

Implant size may affect the amount of discomfort you will experience after surgery. Larger implants may make your chest feel a greater amount of pressure and stretch from the implant fitting under breast envelope. Discomfort will vary between patients. Patients often describe post-operative as "soreness." One patient described it as "like I did 1,000 pushups." Other patients describe no pain at all.   Pain can be controlled with good technique, nerve blocks, and/or post-operative medications. I like to temporarily numb the nerves while the patient is asleep so they wake up comfortably and for the rest of the day. Hope this helps!!Johnson C. Lee, MD Plastic Surgery

Curtis Wong, MD · Answer

that is impacted most by your surgeon's technique and your own personality.  Larger implants may have more tendency to produce more pains due to the increased stretching that inherently comes with larger sizes.  When having a re-do, there is minimal pain.  And if going large, make sure it will make your life perfect because it will not last forever as problems due to the size will start creeping in and impact your results and outcome, often necessitating more surgery (lift and downsize).

Milind K. Ambe, MD · Answer

Thank you for your question.  If you are a B cup and wanting to go to a full C this is a very reasonable request and the pain amount should be mild.  It would be different if you were trying to go to DDD or beyond where the pocket would have to be made much bigger to accommodate that size.  Do not let pain be your worry.  Most importantly select your surgeon based on experience and seeing a lot of photos.

Connie Hiers, MD, FACS · Answer

Not all women have a lot of pain with augmentations. More discomfort is expected with implants placed behind the muscle. Also, you have two different breasts, which may not experience the same amount of pain. You will be given medication post operatively to help you deal with any pain.

Renee Burke, MD · Answer

Hello and thank you for your question. Postoperative pain can depend on a few factors. It is true that a very large implant will cause more postoperative discomfort than a smaller implant, however, there will not be a significant difference if the implants are relative close in size. The decision on whether to place the implant over or under the pecotralis muscle can have an impact on postoperative pain, with more discomfort in the submuscular position due to the stretch on the muscle. Finally, good postoperative pain management is vital to a smooth recovery. I include a muscle relaxer as part of my postoperative regimen for all patients with implants under the muscle. Remember that the initial pain will quickly improve and it is important to have an augmentation you are happy with over the long run. Best of luck with your journey!

The bigger implant size you go, is it true the more pain will follow?

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