Is it common to have pain of the sides of rib after breast reduction?

Question

If so how do I relieve it or when will it go away? I recently had a breast reduction about 3 weeks ago and it’s been healing well until a few days ago I developed a pain on the sides of my ribs particularly the right one. It’s sore to the touch and kind of restricts my movement. I’m kind of concerned because I was hoping to get back to running in the gym soon.

Timothy Treece, MD, FACS · Answer

Yes, it is common. Reduction techniques involve removal of breast tissue down to the margin of the rib cage. The sensory nerves that run from the ribs, to the breasts can be temporarily injured or bruised and the muscles of the chest wall can also be minimally injured. It is not uncommon to have some discomfort on the rib cage for up to four to six weeks after surgery. When this does occur, it is typically very mild.

Luke J. Curtsinger, MD · Answer

Check with your PS to be sure nothing unusual is going on, but the 'armpit' side of the breast is commonly the more painful part of the surgery, This is where the sensory nerves enter the surgical area and are irritated.   Additionally, if liposuction was done on the armpit, then the discomfort is usually greater for a few weeks.  Most of this will resolve completely.

Dhaval M. Patel, MD · Answer

Thank you for your question.  Unfortunately your swelling will go up and down.  Three weeks is still early.  Typically you should not start working out until your 6 weeks out.  I suggest you follow all of your doctors post op instructions. Best of luck!Dhaval Patel 
Double Board Certifed
Plastic Surgeon
Chicago
Hoffman Estates
Oakbrook
Orland Park

Bryan Armijo, MD · Answer

Soreness and pain in the area of the ribs is not uncommon after having a breast reduction. Usually this resolves with time. I advise you to look out for shortness of breast, chest pain, fever, or chills as these can indicate issues that would require immediate follow up. Continue to monitor this area and keep your surgeon’s office up to date with your progress. Be sure to follow up with your surgeon regularly for in person visits as well. Best of luck with your continued healing.

Matthew A. DelMauro, MD, FACS · Answer

Hello! Thank you for your question. Pain after recent breast reduction surgery is not uncommon. In general, the pain improves the further you get from surgery. You should speak to your plastic surgeon about your concerns and about when you may resume strenuous activity. Best of luck!
Matthew A. DelMauro, M.D.

Felix Omar Márquez, MD · Answer

Rib pain after a breast reduction procedure is common. Even your breathing can be painful because you could have an inflammation of the cartilage on the ribs. Don't forget your doctor instructions for post-operatory care. Wait at least 6 weeks before you begin with moderate exercise.

James Hoyt, MD (retired) · Answer

Pain on the sides of the ribcage after breast reduction surgery can occur, but the prevalence and severity of this pain can vary among individuals. It's essential to note that pain is a subjective experience, and each person may respond differently to surgery.Several factors could contribute to rib pain after breast reduction:1. Surgical Trauma: The surgical procedure itself involves manipulation of breast tissue, repositioning of the nipple-areola complex, and potentially the removal of excess breast tissue. This can lead to some level of trauma to surrounding structures, including the ribs and chest wall.2. Changes in Breast Weight and Distribution: The reduction in breast volume can alter the distribution of weight and tension on the chest and ribcage. This change may lead to discomfort or pain in the surrounding areas.3. Postoperative Swelling: Swelling is a normal part of the healing process after surgery. Swelling around the chest and ribcage can contribute to discomfort and pain. As the swelling subsides, pain may decrease.4. Muscle Tension: Changes in posture and muscle tension, which can be influenced by the surgery or the recovery process, may contribute to rib pain.It's crucial to communicate any pain or discomfort you experience with your plastic surgeon during the postoperative follow-up appointments. Your plastic surgeon can assess your specific situation, provide guidance on managing pain, and determine whether there are any complications that need attention.If you are experiencing persistent or severe pain, it is important to seek medical advice promptly. Your plastic surgeon or healthcare provider can provide appropriate recommendations for pain management and ensure that there are no complications affecting your recovery. Always follow your plastic surgeon's postoperative care instructions, and do not hesitate to reach out to them with any concerns or questions about your recovery process.

Is it common to have pain of the sides of rib after breast reduction?

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