I have had pain/discomfort in my left breast steadily for over 3 mos. I have saline implants (under the muscle) for 9 yrs now. There's no apparent deflation or hardening. Mammogram & ultrasound results came back normal (despite some calcification). The doctor said he did not see anything wrong with my implant and it could possibly be costachondritis. But the pain does not go away w/ NSAIDS & is in my breast. My surgeon is retired and the office is 6 hrs away. What steps should I be taking? MRI?
Answer: Musculoskeletal Strain We occasionally see patients who develop breast pain several years after breast augmentation surgery.In the vast majority of patients this type of pain isn’t related to breast implants unless capsular contractures are present.Instead, this type of pain is usually related to musculoskeletal strain.In the vast majority of cases, conservative management is appropriate and results in resolution of symptoms. In the short term, analgesics and muscle relaxants may be appropriate as well.If this pain fails to respond to conservative management further investigation is appropriate.In some cases this may require mammography and possibly MRI studies.Under these circumstances, it’s appropriate to consult a board certified plastic surgeon, general surgeon or possibly a pain management specialist.
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CONTACT NOW Answer: Musculoskeletal Strain We occasionally see patients who develop breast pain several years after breast augmentation surgery.In the vast majority of patients this type of pain isn’t related to breast implants unless capsular contractures are present.Instead, this type of pain is usually related to musculoskeletal strain.In the vast majority of cases, conservative management is appropriate and results in resolution of symptoms. In the short term, analgesics and muscle relaxants may be appropriate as well.If this pain fails to respond to conservative management further investigation is appropriate.In some cases this may require mammography and possibly MRI studies.Under these circumstances, it’s appropriate to consult a board certified plastic surgeon, general surgeon or possibly a pain management specialist.
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CONTACT NOW Answer: Pain/discomfort in Breast 9 Years After Breast Augmentation one of the reasons for pain could be capsular contraction but you say the implants are soft and scans have not shown any things. MRI is advised at this stage to look at the implants and capsule. Musculoskeletal discomfort can always be a cause of pain but they should settle down with analgesics and anti inflammatory.
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CONTACT NOW Answer: Pain/discomfort in Breast 9 Years After Breast Augmentation one of the reasons for pain could be capsular contraction but you say the implants are soft and scans have not shown any things. MRI is advised at this stage to look at the implants and capsule. Musculoskeletal discomfort can always be a cause of pain but they should settle down with analgesics and anti inflammatory.
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June 10, 2020
Answer: Pain after breast augmentation The most common cause of pain 9 years after breast augmentation is usually capsular contracture or scar tissue forming around the implant. This can certainly be on one side only. This can be determined on an exam by a Plastic Surgeon and would require surgical capsulotomy or capsulectomy to relieve.. A rib related source of the pain is possible ( costochondritis that you mentioned) , especially if there does not appear to be any capsular contracture on exam.. In that case , a MRI might be beneficial if no other source of the pain can be determined..Dr. Price
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Answer: Pain after breast augmentation The most common cause of pain 9 years after breast augmentation is usually capsular contracture or scar tissue forming around the implant. This can certainly be on one side only. This can be determined on an exam by a Plastic Surgeon and would require surgical capsulotomy or capsulectomy to relieve.. A rib related source of the pain is possible ( costochondritis that you mentioned) , especially if there does not appear to be any capsular contracture on exam.. In that case , a MRI might be beneficial if no other source of the pain can be determined..Dr. Price
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May 16, 2018
Answer: Revision and Calcification Hi, For your guidance, as with any man-made object implanted in the human body, device failure can occur. It is possible that an implant can rupture causing silicone gel to be released from the implant. Implants also can rupture during the removal process. If implant rupture has occurred, it may not be possible to completely remove all of the silicone gel that has escaped. The implant shell material of textured breast implants may be impossible to remove completely. Calcification around implants can occur and may require removal of the scar tissue surrounding the implant (#capsulectomy). It may not be possible to completely remove the scar tissue that has formed around a breast implant, implant parts, calcifications, or silicone gel. Additional surgery may be necessary in the future. Find a new board-certified surgeon that has extensive experience with your case. Best of luck! #RealSelf100
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Answer: Revision and Calcification Hi, For your guidance, as with any man-made object implanted in the human body, device failure can occur. It is possible that an implant can rupture causing silicone gel to be released from the implant. Implants also can rupture during the removal process. If implant rupture has occurred, it may not be possible to completely remove all of the silicone gel that has escaped. The implant shell material of textured breast implants may be impossible to remove completely. Calcification around implants can occur and may require removal of the scar tissue surrounding the implant (#capsulectomy). It may not be possible to completely remove the scar tissue that has formed around a breast implant, implant parts, calcifications, or silicone gel. Additional surgery may be necessary in the future. Find a new board-certified surgeon that has extensive experience with your case. Best of luck! #RealSelf100
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February 3, 2018
Answer: Pain after BA Dear Nat24,I'm very saddened to hear you are having a difficult time and pain with your breast implants. I think it would be wise to have a follow up appointment with your initial plastic surgeon to address the problems you are having. If that is not an option, I would consult with a plastic surgeon that will take time to listen to your concerns and examine you. I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. Only after 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
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Answer: Pain after BA Dear Nat24,I'm very saddened to hear you are having a difficult time and pain with your breast implants. I think it would be wise to have a follow up appointment with your initial plastic surgeon to address the problems you are having. If that is not an option, I would consult with a plastic surgeon that will take time to listen to your concerns and examine you. I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. Only after 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
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July 12, 2017
Answer: Breast Pain Hi Nat24, There are many possible causes of breast pain, some possibly related to your implants, but most probably not. You've done your due diligence seeing a doctor and mammograms and ultrasounds are a good first step, but the only definitive test is an MRI. Now that your surgeon is retired, you need to do your research and find a new board certified plastic surgeon with a lot of experience to do a full exam and help you figure this out. If you have exhausted all other possibilities, you can certainly remove the implants and the scar tissue in your breasts to see if that eliminates your pain. If not, you can always replace them at any time. Surgery should be a last resort in my opinion, but work with an experienced physician to see what some other options may be first. Good luck.
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Answer: Breast Pain Hi Nat24, There are many possible causes of breast pain, some possibly related to your implants, but most probably not. You've done your due diligence seeing a doctor and mammograms and ultrasounds are a good first step, but the only definitive test is an MRI. Now that your surgeon is retired, you need to do your research and find a new board certified plastic surgeon with a lot of experience to do a full exam and help you figure this out. If you have exhausted all other possibilities, you can certainly remove the implants and the scar tissue in your breasts to see if that eliminates your pain. If not, you can always replace them at any time. Surgery should be a last resort in my opinion, but work with an experienced physician to see what some other options may be first. Good luck.
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