Pain and Extreme Sensitivity 3 1/2 Years After Breast Augmentation?

This type of pain is unusual three years after breast augmentation and probably isn't related to your breast implants. The type of pain that you describe suggests inflammation or irritation of one of your sensory nerves. This can occur for a variety of reasons including surgical injury, scar entrapment, neuroma formation and peripheral neuropathies.It's important that your symptoms be thoroughly investigated to rule out more serious problems. For instance, it would be appropriate to obtain a mammogram to rule out breast cancer. There's a good chance that these evaluations will be negative, and no cause for your symptoms will be identified. Under these circumstances, implant removal may be an option, but there's no guarantee that this will be effective.For this reason, it's appropriate to consult a pain management specialist. This physician should be able to develop a treatment plan that helps minimize your pain and discomfort. This plan may include massage, sensory re-education, nerve blocks and pharmacologic management.

Hello! Thank you for your question! Your symptoms sound like your
nerves regenerating. Breast procedures such as the
breast augmentation and breast lift/reduction certainly result in a more
shapely,
perky, and fuller appearance of your breasts. With any breast procedure
there is a risk, albeit very small, of change in
sensation to the area. The reported rate of sensation changes
(decreased, loss, or increased) is ~7% for lift/reductions and much
smaller for breast augmentation. In my experience, this rate is
reportedly much lower, but is higher when tissue is excised or the
amount of lift that is needed, so the breast reduction procedure has a
slightly greater risk. It can take up to a year for full sensation to
return. Re-educating your nerves to these areas by using different
textures when showering and putting on lotion often helps.  You are very remote from your procedure - you should discuss this with your surgeon and/or primary care.  Consideration for downsizing or explantation should be discussed if the pain is that significant.It is one risk of such a procedure, and
one that you must consider, amongst others, as with any surgical
procedure. You should consult with a plastic surgeon well-trained in
breast procedures who will examine and discuss with you the various
risks and benefits of the procedure(s) and assist you in deciding if
such a procedure will be the right decision for you.

Thank you for the question.

You should be seen by your plastic surgeon to rule out issues such as encapsulation and/or breast implant displacement and/or neuroma.

Best wishes.