7 months post OP & feeling pain & twinges in both my breast (right is more achy), can you advise?

This is due most likely to injury to the intercostal nerves that supply the breast and nipple. One would want to know if the nipples are numb or hypersensitive, if there is decreased sensibility on parts of the breast. If the discomfort is felt with palpation of the lateral 4th intercostal nerve at the upper lateral border of the pectoralis.
If a source of nerve entrapment is located where the 4th intercostal nerve comes out of the pectoralis, that area of constriction can be opened and relief may be obtained.

Hello ! Pain and nerve pain can last up to 12 months after any surgical procedure. But if it continues and becomes worse it would be best to get some advice from your surgeon to see if there are any other options for you during your healing process.

Persistent or worsening pain: While some pain can last 6-12 months after surgery, it should decrease over time. If your pain is getting worse or is interfering with your daily life, you need a medical assessment.
Signs of implant issues:
Rupture or leakage: Pain is a key sign that a silicone implant may have ruptured or is leaking.
Capsular contracture: Hardening and pain in the breast can signal this complication.
Seroma: Fluid buildup can also cause discomfort and requires evaluation

While this may be related to nerve regeneration, it would be a good idea to see your surgeon for an assessment just in case. That way any complication can be ruled out.

Thank you for sharing what you’ve been experiencing, I can hear how frustrating and stressful this has been for you. Pain that changes over time, especially when it becomes more frequent or starts waking you from sleep, is something that should always be evaluated carefully. While some discomfort after surgery or exercise can be normal in the early healing phase, persistent or worsening pain several months later is not something to ignore.
There are a number of possible causes, ranging from muscle or nerve irritation, to implant position or capsule-related changes if you’ve had breast surgery, or even non-surgical issues like musculoskeletal strain. The important thing is that it’s creating anxiety and interfering with your daily life, which means it deserves attention.
My best advice is to schedule a follow-up with your surgeon (or seek a second opinion with a board-certified plastic surgeon if you feel unheard) so they can examine you, review your history, and possibly order imaging if needed. In the meantime, keeping a log of when the pain occurs, what seems to trigger it, and how long it lasts can be very helpful in guiding evaluation.
You’re not alone in this, and there are usually ways to get to the bottom of persistent pain. The next step is a thorough in-person assessment to give you answers and peace of mind.
Warm regards,Dr. Sibel Atalay, MDBoard-Certified Plastic Surgeon

It’s possible that the tightness and pain you're experiencing could be related to a capsular contracture, especially if the discomfort has been increasing over time. You did not mention whether the implants are placed under or over the muscle—if they are currently under the muscle, and you're continuing to have this kind of pain, I would recommend discussing the option of switching to above the muscle placement. In many cases, patients report less discomfort in the first few months with above-muscle placement. From your experience—having sharp pains after workouts initially and now, seven months later, feeling more frequent discomfort even without intense activity—this could point to increasing tension or inflammation around the implant. Even though the pain isn't present 24/7, the fact that it's interfering with your sleep, focus, and causing ongoing anxiety shouldn't be ignored. I strongly recommend scheduling a consultation with your surgeon to assess the situation clinically and possibly order imaging (like an ultrasound or MRI) to evaluate for capsular contracture or other issues.

It is not uncommon for people to experience intermittent pain for months after breast surgery. It should diminish in frequency and intensity as time passes. Persistent pain may be an indicator of an early capsular contracture which may be helped by implant massage and initiating singulair daily. Other maneuvers that can help generalized post surgical pain include physical therapy and daily stretching as well as vibration therapy to any acute pain points. Make sure that you were wearing a supportive bra with gentle compression to help with overall achiness. You should make an appointment to see your surgeon and be evaluated in person at your convenience for a more personalized care plan.

Hello,
Thank you for your question.
At seven months post-operative, the development of new or increasing breast pain—particularly in one breast and significant enough to disrupt sleep—is not typical and warrants further evaluation. While intermittent twinges and shooting pains can be part of normal nerve regeneration, the progression of symptoms after a period of relative improvement raises concern for potential issues such as capsular contracture, nerve irritation, or implant-related complications. Given the timing and the impact on your quality of life, I recommend a thorough in-person assessment, including physical examination and possibly imaging (e.g., ultrasound or MRI) to rule out structural or inflammatory causes. Please schedule a follow-up appointment promptly so we can investigate further and ensure your recovery remains on track.

Dr. Özge Ergun,
A lack of excess fatty tissue initially helps achieve a better contour. Unfortunately, you require a full tummy tuck (full abdominoplasty). Additionally, in the profile view, there is tissue expansion below the navel. Therefore, you will need a short-scar tummy tuck, rectus muscle plication, and a new navel creation.

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:
Thanks for your question — and I completely understand how concerning unexpected sensations can be this far into recovery.
At 7 months post-op, most patients are well into the healing process, but it’s not uncommon to experience occasional sharp twinges, mild discomfort, or sensitivity, especially as nerves continue to regenerate. This is part of the body’s long-term healing and is usually described as fleeting, shooting, or tingling sensations.
However, persistent or increasing pain — especially if accompanied by swelling, changes in shape, redness, or warmth — may need further evaluation to rule out issues like capsular contracture, implant malposition, or late-onset infection, though these are less common.
If the pain is mild, intermittent, and not worsening, it may simply be your body’s nerve healing and scar tissue remodeling, which can continue for up to a year or more. But to be safe and give you peace of mind, I always recommend a follow-up exam with your surgeon to assess the implants, soft tissue, and rule out anything concerning.
At Lone Star Plastic Surgery, we’re committed to long-term follow-up care, and I encourage patients to reach out with any concerns — no matter how far out from surgery.
Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX