Why Does Left Arm Remain Numb 8 Months After Breast Augmentation Revision Surgery?

Hello! Thank you for your question! Numbness after any surgical
procedure is expected for several weeks to months following. As the
nerves to the area are traumatized and will then experience a temporary
neuropraxia, a transient loss of nerve conduction. This usually
resolves over the next 6-12 weeks, but depending on the procedure
performed, sometimes much longer. Typically this should resolve by 1
year. As it goes past this date, the likelihood of the sensation
returning is small. However, it can take up to 2 years. If no return
from there, it is unlikely to return. It should be discussed that
persistent sensory changes may develop following any surgical
procedure.  At this far out from your procedure, the sensation will unlikely return.  My only thought is if you had an axillary incision, that the nerve to the area, which runs through your armpit was inadvertently transected.  The usual signs of the nerves regenerating and neuropraxia
resolving is itching, followed by a burning sensation and then
occasional sharp, shock-like pains. These will be normal to experience,
and actually a promising sign. Usually, normal sensation returns, but
is is also possible to have decreased sensation or even increased
sensation to the areas affected. Re-educating nerves postoperatively is
often helpful and will allow proper instruction for the affected
sensory nerves - methods include using different textures to the
affected areas when showering, bathing, applying lotion, etc. If
bothersome, there are some medications that may be helpful, including
Neurontin for pain for hypersensitivity. You can try various textures
such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is
also beneficial for the incision to make the finest scar possible. The
last place to regain the sensation will be directly adjacent to the
incision/scar as the nerves will make its way from the periphery to this
location. If continual pain arises, evaluation is warranted. After
ruling out other causes, one rare explanation may be that a neuroma has
developed and may require surgical excision. This is very unlikely
unless a large sensory nerve has been transected inadvertently during
the procedure. Hope that this helps! Best wishes!

Why Does Left Arm Remain Numb 8 Months After Breast Augmentation Revision Surgery?
I just completed my 3rd BA Revision surgery in L.A. after 2 unsuccessful surgeries in Thailand. My 2nd surgery was done in May 2010, and it was a horrible experience. The L.A. doctor fixed my implants, but did not care to address the other issues stemming from my 2nd surgery. I am numb in my upper left arm/arm pit area. It is really annoying, and drives me crazy when I have an itch. There is also a weird sensation when I touch the area. Whill this ever go away?

It sounds like the intercostobrachial nerve was damaged some how.  If it does not regain its function in about 12 months then it is unlikely going to.

Unfortuately, it is unlikely at this point in time that you will regain any more sensation. I have a had a few patients who report improved sensation from a second procedure but that is exceedingly rare.

That is sometimes the problem with going overseas for surgery.  Did you know the history of this surgeon?  It is possible you have nerve damage.  Since you have had three surgeries, you have to give it some time.  Implant removal and replacement will not address any nerve issues.  Talk to your PS about possibly trying some therapies including massage, physical therapy, etc.

 

It was probably impossible for your LA surgeon to correct your arm numbness as he would not be able to look for what your Thai surgeon injured. The numbness coukd be the result of something the Thai surgeon did, or from the position they had you lying in during the surgery.

Rarely, some patient may have upper inner arm numbness after breast augmentation surgery.  It may be more common with an underarm incision, as opposed to a  breast fold or areolar incision.  Basically, the intercostobrachial nerves may have stretched, or swelling may have compressed them, which may cause short term or long term numbness in your upper and inner arm.

 

Even without an underarm incision, some of the nerves may be damaged with compression or surgery i the chest wall area.  This would correspond to the underarm area.

 

The treatment of the area is usually time, and making sure your swelling goes down.  If this doesn't do the trick, then desensitization therapy, massage, and other modalities may help.  You should consider talking to your plastic surgeon that did the surgery to figure out what to do, given that it's been 8 months since your procedure.

 

Thanks for the great question, and I wish you the best of luck in getting rid of your numbness.

Did you have a transaxillary approach at any time?  SOmetimes the nerve to this area of the arm is injured by stretching or even cutting and can lead to numbness.