Do Breast Implants Make Pre-menstrual Breast Pain Worse?

Breast pain associated with menstruation in the short-term might be aggravated because of inflammation related to breast augmentation. When this subsides the implants will have no further affect.

I do not think breast implants make pre-menstrual breast pain worse.  Please visit with a board certified PS who is a member of the American Society of Plastic Surgeons to learn more about your options.

Dr. Basu

Houston, TX

Thank you for the question. No, I do not think that the presence of breast implants make premenstrual breast pain worse. There is certainly no evidence,  either based on clinical studies or anecdotally in my practice, that this is the case.

Also, I do not think that the location of breast implants  will necessarily make a significant difference in premenstrual breast pain. However, I do think that there are many advantages in position the breast implants in the sub muscular (dual plane)  as  opposed to the sub glandular position.

 Best wishes

It has been my experience that in the short term this may happen as the pain in the breasts with menstruation is mostly a pressure phenomenon brought about by fluid retention in the dense fibrous tissues of the breasts.  Thus with the increased pressures that can occur with postoperative swelling as well as tensions placed on tissues while they are accommodating to the implants, I think this can happen.  Once the tissues relax and the implants settle, which may take several months, I would expect this to return to the baseline where it was before implants, although that is just an expectation.  Although doubtful, the truth is that you could experience a permanent increase to your breast pain; it is just very difficult to say one way or the other absolutely for sure.  I would not expect the plane of the implants - subglandular, submuscular, or dual plane - to have a significant impact on this.  The bottom line is that you will have to decide for yourself how important breast augmentation is to you, and if it is important enough, you will have to undergo the procedure and just see if you have an increase in your pain, and if you do, is it temporary.  Good luck.

Even those your breasts are sore before and during your menses, there is no current evidence that breast implants will make that concern worse.  Given the very large number of women who undergo breast augmentation, if menstrual pain was made worse by placing implants above or below the muscle this concern would likely be known by now.