How Long Do Muscle Spasms After a Breast Augmentation Last?

I have gone from a small B cup to having 500 cc implants. I am having to take Valium just to perform the exercises to form the pockets.

Doctor Answers 15

Muscle Spasm After Breast Augmentation

Thanks for the fantastic question -

Muscle spasm after sub-pectoral breast augmentation can be caused by the stretch of the pect. muscle when the implant is placed beneath it. However blood and manipulation can also cause muscle spasm. The larger the implant the more likely the spasm.

Typically the spasm resolves after about 1 - 2 weeks as the muscle irritation decreases.

In our San Francisco area practice we have worked extensively on a regimen that reduces spasm which includes medications for the first few days as well as specific exercises for patients more prone to spasm.

I hope this helps.

San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Several weeks is not uncommon

Spasm of the pectoralis muscles after breast augmentation is not only common but the rule. The muscles are used to being against the chest wall. When the implants are placed under the muscle they are put on a constant stretch that is unnatural for them. Thus the muscles will contract in an attempt to regain their natural muscle fiber tension.

You underwent quite a large augmentation so the muscles are unhappy. Most of my patients are off Valium by post op day 4 or 5. The pain you are feeling working out is different than the muscle spasm. The muscle takes 6-8 weeks to fully recover from being divided along its lower boarder.

To make a long story longer it will be at least 8 weeks before the pain is essentially gone.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 34 reviews

This is very variable

Muscle spasms are usualy gone after 3-4 weeks at most, but may take longer with a large implant like you have.  Also, the more anxious the patient's personality, the more spasms they have because their body is usually in a much higher state of tension than a relaxed person.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast Augmentation Spasms

It is possible to have symptoms up to a month or longer (depending on size of the implant) after breast augmentation.  The skin tissue needs to stretch and the implants need to drop.   Larger implants will increase likelihood of spasms. This is why you are experiencing discomfort.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 19 reviews

Weeks, but gets better

When the inplants are under the muscle, it is very painful, and that is why I Rx valium along with narcotics. The pain is due to the muscle spasm. The first week is the worst, and it gets better over time. By about 3 to 4 weeks, most of my patients are fine, but are a bit stiff and sore- ibuprophen type of pain. Keep moving and stretching. Warm showers help. Ask your doctor about a band.

Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

Muscle spasms after a breast augmentation

For your individual situation, you need to speak to your surgeon. In general muscle spasms can subside in 3-4 weeks depending on the size of the implant.

Jeffrey Weinzweig, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 62 reviews

Spasms are normal after sub muscular augmentation

The muscle spasms usually break in the first two weeks or so.  After that, it is typical for the spasms to be intermittent for a month.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
4.9 out of 5 stars 136 reviews

Muscle spasm after surgery

Most muscle spasms resolve in one to two weeks, but with large implants like yours they can last 4-6 weeks. If manipulation of the implants is causing the spasm talk to your surgeon about holding off on the exercises until your muscles have stretched and relaxed a bit more. Best of luck.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews

Muscle Spasms Resolve In 3-4 Weeks Following Surgery


         It’s not unusual for patients to have muscle spasm following breast augmentation, especially when large implants are placed beneath the pectoralis muscles. In most cases, spasm has resolved in three to four weeks following surgery. In the short term muscle relaxants, stretching and massage can provide relief and shorten the duration of muscle spasm.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Muscle spasms

Those are some big implants. You could expect some muscle spasms. They will get better in time. Probably several months. Best of luck.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.