My breasts have hurt ever since I was a teenager (even before getting implants). After getting implants, they still hurt a lot. Its not the implant that hurts, its the tissue surrounding the implant that hurts (if that makes sense). I had severe tuberous breasts. I know 100% I don't want children and I am in my 20's.
January 4, 2017
Answer: Difficult problem I would most certainly go and talk to your surgeon. Your first option may be to simply remove the breast implants and see if your symptoms will improve.Best Wishes,Nana Mizuguchi, MD
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January 4, 2017
Answer: Difficult problem I would most certainly go and talk to your surgeon. Your first option may be to simply remove the breast implants and see if your symptoms will improve.Best Wishes,Nana Mizuguchi, MD
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January 4, 2017
Answer: Breast Pain: Mastodynia Mastodynia or breast pain is fairly common. There are a number of causes ranging from the serious to the benign. The actual pathophysiology is dependent upon the cause and can be both intrinsic to the breast tissue or extrinsic (i.e. neuropathic pain).Breast pain is typically cyclic in nature varying with a woman's hormonal cycle. The pain commonly affects the upper/outer aspect of both breasts but can even extend into the proximal arm (remember the breast has a tail. This type of pain can generally be addressed with simple measures such as a supportive undergarment or anti-inflammatory medication. In rare cases, a physician may prescribe something for refractory pain.The more serious variant may be associated with a suspicious mass in the breast, nipple discharge or deformity and may be indicative of potential malignancy. In this case, patients with concerns should see their physician and imaging may be necessary.Your suggestion of removal of breast tissue is more commonly known as a subcutaneous mastectomy. A mastectomy is more commonly employed in the setting of a malignancy where all rather than most of the breast tissue is removed. In these cases, reconstruction is typically performed via placement of an implant. However, in the case of mastodynia, pain sometime persists even after all breast tissue has been excised.Subcutaneous mastectomy is a significant step. I would recommend evaluation by your primary care physician and breast surgeon as well to rule out more serious causes. You may also need evaluation with neurology in the rare case of neuropathic pain.
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January 4, 2017
Answer: Breast Pain: Mastodynia Mastodynia or breast pain is fairly common. There are a number of causes ranging from the serious to the benign. The actual pathophysiology is dependent upon the cause and can be both intrinsic to the breast tissue or extrinsic (i.e. neuropathic pain).Breast pain is typically cyclic in nature varying with a woman's hormonal cycle. The pain commonly affects the upper/outer aspect of both breasts but can even extend into the proximal arm (remember the breast has a tail. This type of pain can generally be addressed with simple measures such as a supportive undergarment or anti-inflammatory medication. In rare cases, a physician may prescribe something for refractory pain.The more serious variant may be associated with a suspicious mass in the breast, nipple discharge or deformity and may be indicative of potential malignancy. In this case, patients with concerns should see their physician and imaging may be necessary.Your suggestion of removal of breast tissue is more commonly known as a subcutaneous mastectomy. A mastectomy is more commonly employed in the setting of a malignancy where all rather than most of the breast tissue is removed. In these cases, reconstruction is typically performed via placement of an implant. However, in the case of mastodynia, pain sometime persists even after all breast tissue has been excised.Subcutaneous mastectomy is a significant step. I would recommend evaluation by your primary care physician and breast surgeon as well to rule out more serious causes. You may also need evaluation with neurology in the rare case of neuropathic pain.
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