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

I am going to assume your breast implant is under the muscle and you are right handed and with that, your chest exercises are pushing your breast implant down and to the side with the right arm pushing stronger than the left. The implant is likely starting to drift to where your nerves are and that is causing your pain after exercise. For now, I would wear a very good push up bra and add some padding to encourage the implant to stay higher and off the nerve. If that doesn't solve the issue, return to your surgeon and have the surgeon check to see if your implant is in good position even when you raise your arms. If your implant is coming out from under the muscle, I recommend surgery to tighten up the pocket and I personally would add mesh (such as Galaflex) to support the implant. If all else fails, call our 847-853-9900 and we'll figure this out. Best Wishes!!

Is This Normal?
7 months post-op, many people expect to be mostly healed. However, some ongoing sensations can be normal—but persistent or worsening pain isn’t typical at this stage. Some possibilities to consider:
Possible Causes
Nerve regeneration or entrapment: Shooting or twinging pains can come from nerves healing or becoming irritated. This can happen months after surgery.
Capsular contracture: If you had implants, the tissue capsule forming around them may become hard or painful, especially if it's asymmetrical.
Scar tissue tightness: Internally, scar tissue continues to mature up to 1 year or longer. It can tighten, pull, or cause intermittent discomfort.
Muscle strain or delayed inflammation: If your workouts target chest/shoulders, the pectoral muscle (especially if it was lifted or cut in surgery) might be irritated.
Implant issues (if applicable): Malposition, rupture (rare), or shifting can sometimes present as delayed onset pain.
Hormonal sensitivity: Sometimes, breast pain can also be influenced by menstrual cycles or hormonal changes, even if not surgery-related.

Anxiety feedback loop: Persistent low-grade pain can cause anxiety, which can heighten your awareness of discomfort and tension in your chest.
What You Can Do Right Now
Call your plastic surgeon — This is important. At 7 months, worsening symptoms warrant an in-person evaluation. They may:
Order imaging (ultrasound or MRI if you have implants).
Assess for capsular contracture or other complications.
Track symptoms.
Any visible changes?
Avoid strenuous upper-body workouts for now, especially push-pull motions, until you've been evaluated.
Manage anxiety — Try breathwork, meditation, or gentle stretching. Even journaling your pain patterns can help reduce mental load.

Thank you for taking the time to describe your symptoms in detail — this makes it easier to understand what you’re going through.
What you’re experiencing isn’t uncommon, especially in the months following surgery, but the return or increase of pain after initial improvement can signal that something deserves closer attention. The fact that it now wakes you up at night and affects your daily focus shows it’s not something to dismiss.
While your symptoms may still be part of a healing process or post-surgical nerve sensitivity, pain that recurs without a clear trigger (like exercise) should be thoroughly evaluated — especially since you’re now 7 months out. In rare cases, scar tissue formation, delayed-onset nerve irritation, or muscle imbalances can lead to this type of discomfort.
You’ve also mentioned increased anxiety, which is very valid — persistent, unexplained pain can take a real toll on mental well-being. I strongly encourage you to connect with your surgeon or a trusted pain specialist for a full evaluation. A careful physical assessment may help reveal what’s contributing to your symptoms and guide you toward relief.
Until then, please know that you’re not alone in this. Your body is clearly signaling something — and listening to it is the first step toward getting relief. Wishing you clarity and comfort soon.