Is there anything that can be done to lessen the shortness of breath that may come with breast lift an implants?

Hello, there are many ways to handle the muscular tightness and pains that occur after surgery including oral medications, injections or continuous infusions of anesthetic medication into the breasts, and other measures like cool compresses, gentle massage and stretching.  You can speak to your surgeon about their postoperative management of pain and muscle tightness.

is the long acting local anesthetic you are referring to, NOT all PS use it or have ever even used it. That is something you will need to ask of your surgeon. This will take away the pain for up to 3 days, but it does not help with the muscle spasms. Many surgeons prescribe muscle relaxants to assist with this problem. Ask your operating surgeons about these options. 

Chest pain and muscle tightness is common after breast augmentation surgery. There are medications and some anesthetics that can be applied to help manage chest pain, including muscle relaxants. Inform your surgeon about your concerns. Your surgeon can walk you through postoperative management and a treatment plan that may address your issue. 

I do not think that my patients experience shortness of breath after breast surgery. Yes, they experience some chest pain but it does not usually impact their breathing.

This is something to involve your pulmonologist in discussing.  I have not observed shortness of breath in my augment patients. A muscle relaxant may be considered as well as nerve blocks during surgery to get you over the first couple of days.