Normal for pec muscles to get really tight one month post op? (photo)

I had my BA dec 12 and I am exactly a month post op. Every now and then if I carry something a little heavier my pec muscles will tighten and I have to stop doing what I'm doing, massage, take ibuprofen until the tightness goes away. I have sub pectoral implants, 397cc silicone, through the nipple. Is this normal?

Doctor Answers 9


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It can be expected as the muscle gets aggrivated by the implants.  You should discuss this with your PS to make sure they are not concerned.

Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Pec muscles tight after breast augmentation #breastimplants

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Yes it is very normal. It can take 3-6 months for the skin and muscle to stretch and become softer. You just want to make sure you stay in close touch with your surgeon so they can examine you often. What you describe I hear from my patients all the time early on.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 54 reviews

Breast Enhancement

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Interesting, I got the same call today. Sounds like you over did it a bit. The muscle wants nothing to do with the surgery and it really takes a while for it to settle. If its really bad try a muscle relaxant last resort is botox

Yes, you can experience pec. muscle tightness after submuscular enlargements.

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With increased activity, you can experience muscle tightness or spasm after sub-muscular breast implant placement.  You are early on in the healing process and this should improve over the coming months.

If you do upper body exercises, you can experience this sense of muscle tightness long after your surgery date, as well.

Best Regards,

Douglas J. Raskin, MD
Colorado Springs Plastic Surgeon
4.9 out of 5 stars 69 reviews

Normal for pec muscles to get really tight one month post op?

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Again these post operative issues could be addressed by your surgeon in a simple phone call. In general it takes 3 months to obtain full healing and muscle relaxation..

Tight Pectoral Muscles

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It is rather common to have the tissues over the implants to feel tight one moth following a subpectoral breast augmentation, especially when using the chest muscles. They should soften on a weekly basis. By 3 months most patients do not have the feeling that surgery was done. The tissues are soft, and most activity is not painful. Everyone heals differently though.

Gustavo E. Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 55 reviews

Breast Augmentation

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A capsule will have formed around both of your implants by 10 weeks. These are sometimes called scars, and do bear some resemblance to other types of internal scars.

With current photos I am not getting a clear idea of what may be occurring with your implants. I see photos from a month or so ago that appear rather unremarkable, and a normal postop appearance.

Discussion with your surgeon will be the best recommendation

Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
4.7 out of 5 stars 107 reviews

Muscle tightness post augmentation

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It is not uncommon to experience muscle tightness in the first few weeks post sub pectoral augmentation.  This does improve over time.  Hang in there!

Janet Turkle, MD
Indianapolis Plastic Surgeon
4.8 out of 5 stars 67 reviews

Tight pecs after breast aug

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The symptoms you are experiencing are likely just normal postoperative spasms of the muscles. It may help to avoid precipitating factors such as heavy lifting and to continue anti inflammatory medications. Make sure your surgeon is aware of your concerns. The discomfort will likely improve with time. 
Best of luck 
Gaurav Bharti

Gaurav Bharti, MD, FACS
Charlotte Plastic Surgeon
5.0 out of 5 stars 124 reviews

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.