Nipple pain 10 months after surgery - will it ever go away?

Question

I had my first breast aug. 5 years ago with 375cc Silicone implants. I had a minor capsular contracture on one side and had always wanted to go a little bigger so I did the surgery again 10 months ago. I now have 550cc silicone implants. Everything feels and looks fine except the severe nipple pain that I have everyday. After my 1st surgery they were very tender/too sensitive to touch. Now they just hurt all the time, will it ever go away?

Daniel Barrett, MD · Answer

Dear CMT27,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately it is impossible to say, you will have to consider the course of sensitivity - if the attacks are reducing in intensity and severity hopefully that will continue.

Jose Suarez, MD · Answer

Have a nice day! Here’s Dr. Jose Suarez hoping to answer all your doubts. In a very low percentage of cases, sensitivity is altered.

Brian Widenhouse, MD · Answer

Thanks for your question. Certainly nipple sensitivity/pain can last several months post surgery, but usually decreases with time. I suggest you schedule an appointment with your plastic surgeon for further evaluation.
Best of luck!

Connie Hiers, MD, FACS · Answer

You may continue to have pain with these larger implants. If you go back down in size, the pain might improve. Acupuncture may also help with pain.

Douglas Taranow, DO, FACOS · Answer

It is not unusual to have nerve pain or nipple pain post augmentation.  It is unusual for it to continue for 10 months.  At this point, I would examine you to see if the pain is reproducible by tapping on any area.  If so, lite steroid injections will reduce the pain.
If not, many times you may try a 14 day course of : Neurontin or Lyrica.  These meds can sometimes reset the nerves and stop the issues.  You may feel a bit loopy while on them.
Best wishes.
Dr. Taranow

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Altered nipple sensitivity is not unusual following breast augmentation. As small microscopic nerves are divided during the course of dissection, a change is almost inevitable. However, if there is pain, it suggests the presence of a neuroma, which is a reaction of a nerve to being severed. The unsatisfied nerve endings may roll into a ball, resulting in an exquisitely sensitive spot. 
Desensitization is often achieved with various therapy modalities. If this fails to improve the condition, secondary surgery to remove the neuroma may be indicated.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Nipple pain 10 months after surgery - will it ever go away?

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