Escalating Pain Months After Breast Augmentation with Saline Implants

I'm 3 months post op and have had discomfort and pain in my left breast for the past few weeks and the pain seems to be getting worse. I also think that my breast looks a bit swollen, and my nipples are no longer a lined, no firmness, is this normal?

I had saline implants put under the muscle. Massaging seems to help but the pain and tenderness comes back.

Doctor Answers 8

Call your doctor!

One thing we tell our breast patients is that they have to be their own best advocate. If they notice any heat, firmness, swelling, redness or anything in their breasts that makes them uneasy at all, they need to call us sooner rather than later.

Don't wait to see if it will go away by itself. Don't think you're being a pest. Don't allow a small problem to become a big problem. You really owe it to yourself and your surgeon to go in and be seen right away. What you're experiencing is NOT normal, but you already have kind of know that or you wouldn't be as concerned as you are. Now you just need to make the call and work with your surgeon to determine what the problem is and how to fix it.

Good luck!

Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

Increasing pain in the chest folloiwing augmentation

The pain in your breasts should be resoloving at this point in time and actually improving rather than becoming worse. Contact your surgeon for an evaluation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Swelling Months after Breast Augmentation

You should consult with your plastic surgeon. The pain maybe still resolving, but this is uncommon. Swelling months after surgery maybe due to seroma formation or fluid accumulation, infection, beginning of capsular contracture. You should be examined by your plastic surgeon to ensure none of these are concerns. 

Ankit Desai, MD
Jacksonville Plastic Surgeon
5.0 out of 5 stars 20 reviews

Pain 3 Months after Tummy Tuck?

Thank you for the question.

You should be seen by your plastic surgeon to rule out issues such as encapsulation and/or breast implant displacement.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Make sure you follow up frequently

If you have ANY issues after surgery, you must tell your surgeon. I have never known a plastic surgeon to be upset by a patient calling and asking for help. Especially with pain and swelling, your surgeon will appreciate your call.

Jacob Freiman, MD, FACS
Miami Plastic Surgeon
4.5 out of 5 stars 268 reviews

Swelling after breast surgery

It is uncommon to experience increasing pain and noted swelling in one of the breasts several months after the surgery.  This could be suggestive of an early seroma possibly.  If this continues to expand, be sure that your Plastic Surgeon follows you carefully.  A mammogram/sonogram may be necessary.  If surgery is required, be sure that the fluid removed is sent for culture analysis and cell pathology review.  This would help to eliminate any concern of infection or cancer diagnosis( very uncommon, I must add).


You may have simply bruised the breast because of some physical activity.  Initially cool compresses and antiinflammatory medications may be suitable to try to limit this swelling. 


Good luck for the future.


Frank Rieger M.D.  Tampa Plastic Surgeon



Pain in breasts

If you are feeling pain and discomfort that has gotten worse or is different from the feelings that you had as you were healing, I would seek advice from your doctor.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Visit your plastic surgeon

It is unusual for you to have swelling and increased pain in one breast 3 months after surgery. The best way for you to know what the problem is would be to see your plastic surgeon as soon as possible. Best of luck,

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

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.