Would Breast Augumentation the Second Time Around Be More Painful?

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.

Breast augmentation is performed under general anesthesia in a sterile surgery center. Postoperatively, patients complain of pain along the incision site and heavines along their chest. Patients typically feel more pain with a submuscular implant vs. a subglandular implants.
Revisional breast augmentation surgery is less painful as the implant pocket is already dissected and well formed. In some cases, patients will need a capsulotomy or capsulectomy, which will cause more pain after surgery.