Complications with pec muscle years after explant

Question

My pec muscle was not repaired to original position upon explant 7 years ago. I continue to have breast pain at the bottom of my breasts. Is it possible therr are complications with my pec muscle this long after? Or problems with scar tissue?

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It’s understandable to be concerned about persistent breast pain, especially several years after your explant surgery and the lack of repair to the pectoralis major muscle. Please see the attached video to discuss your concerns in detail. While complications with the pectoralis major muscle and scar tissue can certainly contribute to ongoing breast pain years after explant surgery, a thorough evaluation is necessary to determine the exact cause of your symptoms. Engaging with healthcare professionals for targeted assessments and treatments can help address your concerns and improve your quality of life.

Connie Hiers, MD, FACS · Answer

Pain is more commonly associated with scar tissue. You can try massage, red light or ultrasound treatments, or even radiofrequency to see if you get relief.

Bryan Curtis, MD · Answer

Complications with the pectoral muscles years after breast explant surgery are possible but relatively rare. These complications might include:1. Muscle Pain or Tightness: Some individuals may experience ongoing discomfort or tightness in the pectoral muscles after breast explant surgery.2. Capsular Contracture: In some cases, scar tissue (capsules) that forms around breast implants can cause the pectoral muscles to contract and lead to pain or distortion.3. Muscle Atrophy: Over time, there can be a gradual loss of muscle mass (muscle atrophy) if the pectoral muscles were disrupted during the initial implant surgery.4. Asymmetry: Changes in the pectoral muscles can lead to breast asymmetry.If you’re experiencing complications or concerns with your pectoral muscles years after breast explant surgery, it’s crucial to consult with a plastic surgeon who can provide a proper evaluation and recommendations for addressing any issues.

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having with breast pain.  It's best to visit with your surgeon for an evaluation.  She/He is most familiar with the details of your procedure and what may be causing your discomfort.  There can be several causes for the pain you describe and a physical assessment is needed to help determine the cause.

Mats Hagstrom, MD (license on probation) · Answer

Idiopathic breast pain is a very common condition. for most patient, there is no diagnosed ideology or treatment other than avoiding caffeine and you think over-the-counter pain medication.
The pectoralis muscle is typically not repaired during implant removal.
Women who develop breast changes should be a valuated by their primary care or OB/GYN doctor, especially if you notice any physical changes.
Best, 
Mats Hagstrom MD

Complications with pec muscle years after explant

Answers (5)

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