Pain & discomfort 4 years after breast augmentation - will an implant removal or exchange help?

Dear tappsandbaps,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your own tissue may be tender, but removal might still help since your tissue won't be stretched as much. Try taking Vitamin E, 1000 iu daily and staying off caffeine and chocolate.

You would need to be seen in person to evaluate if a revision or an explantation would reduce your post operative pain.
If the breasts are tight or you have a capsular contracture, then a revision with or without implants should help.

What you are complaining of is commonly seen with implants that are placed under the muscle.
Patients are relieved when the implants are removed are placed with smaller implants placed above the muscle .