Mastopexy w/implant pain - do patients say it's really bad?

Question

I'm getting a mastopexy with 450cc implants on Friday. Women are expressing a lot of discomfort with the implant AND mastopexy vs just the implants. I know everyone ranges in pain tolerance but do patients say it's really bad?

Tyler Frew, MD · Answer

Hi there,
In genernal, mastopexy augmentations are more painful but are tolerated very well. 
The addition of the implants, usually under the muscle, is what causes there to be more pain than just a lift alone.
However, most patients tolerate mastoaug very well as it is one of the most common procedures in place today.
I would suggest you keep up with your pain pills, muscle relaxers, and rest adequately, you will do great
all the best

Shaher W. Khan, MD · Answer

Hello, thank you for your question. Pain and discomfort can vary significantly from person to person. Common experiences include tightness, soreness, and swelling, especially in the first few days post-surgery. Some patients find that managing pain with prescribed medication and resting helps a lot. It is important to follow your surgeon's post-operative care instructions, as that can make a big difference in recovery. Listening to your body and taking it easy in the days following the procedure is key. Please view the attached video to answer your question specifically. If you have specific concerns, definitely discuss them with your surgeon as they can provide tailored advice and reassurance.

Gianfranco Frojo, MD · Answer

A lift with 450cc implants will be challenging. Those are quite large implants in general.  I would recommend seeing a board-certified (American Board of Plastic Surgery); ideally, a surgeon with also a history of proper aesthetic breast surgery training.

Daniel Barrett, MD · Answer

Dear Resourceful463669,
paint level after breast lift shouldn't be high. Good preoperative and postoperative protocols and meticulous surgical technique can reduce pain level significantly. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian Widenhouse, MD · Answer

Thanks for your question. The pain is tolerable with pain medication for the first few days. After that, you should be able to switch to OTC pain medicine without any problem. Most of the pain associated with the mastopexy is incisional pain, which subsides fairly quickly. The majority of the discomfort and pain stems from the breast augmentation.
Best of luck!

Camille Cash, MD · Answer

Typically patients find the discomfort associated with an augmentation and mastopexy to be manageable.  Your surgeon will likely prescribe narcotic pain medication to help.  You may also get a medication injected during surgery called Exparel which can help with pain for the first few days after surgery.  Patients often only require prescription pain medication for the first three to five days, so the discomfort is short lived.

Connie Hiers, MD, FACS · Answer

Pain is very subjective, but surgery does cause pain. Will the pain be worth your new ladies?  Most women say yes. Plus, pain is usually temporary, and you are given medications for pain.  Most women who have had children think the pain is less than childbirth and the first breast engorgement.  Remember, this is elective surgery. This is your choice.

Mats Hagstrom, MD (license on probation) · Answer

There are a lot of variables that will impact the degree of pain and discomfort after this procedure.
The biggest variable is if the implant is placed above or below the pectoralis muscle.
Most plastic surgeons are going to place the implant below the muscle if augmentation is done in conjunction with a breast lift.
 From my experience, the breast lift is far less painful than augmentation.
Overall, I would say recovery from this surgery is about six out of 10 if a tummy tuck is a nine out of 10 and Liposuction it would be a five out of 10.
Most patients are mostly sore with our movement for the first 5 to 7 days after which they’ll still be discomfort but not particular pain with rest.
Most surgical pain diminishes substantially within three days.
Best,
Matt Hagstrom, MD

Mastopexy w/implant pain - do patients say it's really bad?

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