Would Breast Augumentation the Second Time Around Be More Painful?

Most of the time revisional surgery is not as painful as the original operation particularly submuscular placement.  However, if you have had your implants taken out for some time and now choose to have new ones placed below the muscle, this comment probably doesn't apply to you.  The pain will probably be similar.  I wonder why you had the first ones removed?

If you previously had subpectoral (under the muscle) breast augmentation, had them removed, now want implants under the muscle again, it may be just as painful as your initial surgery.  If the new implants are placed subglandular (in front of the muscle) the recovery would be much easier for you.  It's difficult to say for sure because there may be some scar tissue from your first surgery surrounding your pectoral muscle making that subpectoral pocket technically difficult to dissect.  You should consult with a board certified plastic surgeon and obtain your previous operative reports to help outline the best surgical plan for you.

On a related note, patients who have implants and then want to increase the size of the those implants, usually have a very easy recovery in terms of pain.

Best wishes,

Dr. Bruno

In my experience, the vast majority of pain with a revision breast augmentation is a fraction of the intiial procedure and I would estimate probably less than 30% (based on pain medication use). This is true for straightforward breast implant removal and replacement and does not include lifts, revisions, capsulorrrhapy, capsulopexy, capsulotomy, size change, etc.