Painful Implant over 1 Year PO Successful Double Mastectomy with Reconstruction?

Mentor silicone high profile 500cc, no remaining breast tissue. 3 days ago, sudden severe constant pain in left breast only extends through shoulder and down arm. Pain worsens when bending, lifting and deep breathing. Implant feels soft, no hard spots. Change in shape, flattening along top half of breast, slightly bulging toward armpit even while standing. Ultrasound shows no evidence of rupture or leak. Most information on subject is limited to augmentation or recent post-op. Need help please!

Doctor Answers 3

Painful Implant 1 Yr out after succ dbl mast w/recon?

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Hard to say what is really going on. It could be herniation of the implant through the capsule or some other trauma to the pocket. I have seen many US's that are normal with clinically ruptured implants. You should go see your surgeon to rule out contracture or some other problem. Not normal to have this kind of pain that far out.

Scottsdale Plastic Surgeon
5.0 out of 5 stars 54 reviews

Pain after breast reconstruction

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You had two major surgeries, the mastectomy and the breast reconstruction. Now the pain. There is no way we can help on the internet. You need full evaluation by your general surgeon, plastic surgeon and family physician.

Samir Shureih, MD
Baltimore Plastic Surgeon

Painful Implant 1 year postop

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It sounds as though you may have irritation or tear of your capsule around the implant.   This means the implant is intact.  

It may be caused by trauma or aggressive activity.   Please undergo careful evaluation by your plastic surgeon to determine if further treatment or observation is necessary.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 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.