Hi FitMamaof6,Thanks for your question. It certainly is not as bad as the first time. Most of my patients experience discomfort and just sometimes take ibuprofen only and no narcotics for pain. But the best determinate of pain will be what is done exactly. If the capsular contracture needs to be removed, then that usually causes more pain. If your doctor uses drains, then that typically causes more pain. Again it will be based on what is done to the inside of your breast or if any internal sutures need to placed to reposition your breast to a better position. Hope this helps and congrats on your new breast!
All the best,
Carlos Mata MD, MBA, FACS
Board Certified Plastic Surgeon
Normally revision surgery is less painful in our practice. The capsulotomy is normally not too painful as the Submuscular pocket is already present