I have a painful "ligament" under incision: I am about 5 weeks post op. (Photos)

Thank you for sharing your question and congratulations on your recent augmentation.  It appears that you have an irritated vein, termed thrombophlebitis or Mondor's cords.  This can be treated with NSAID's and warm compresses to your tissues.  I would inform your surgeon as they can provide you the best reassurance and treatment to maintain your comfort.  Hope this helps.

Thanks for your question. Based on your photo, you have temporary swelling and pulling of connective tissue below the breast. As you heal, your tissues are getting used to their new 'roles'. This connective tissue is simply being pulled by the implant as all the tissue heals. This will settled down in a few weeks. I suggest you leave it alone and let it settle. I also suggest you remain in close contact with your surgeon for evaluation. All the best!

Thank you for your question. It is nothing but a stretched thromboses vein. It will get better with time. Warm compression and NSAIDS will help. Please talk to your PS

The "cord" that you have below your breast is a band of ligamentous tissue that can get pulled by the sutures closing your incision or the stretching of the breast ligaments (called "Cooper's ligaments") by the implant. This is self-limiting and does not become permanent. I would use anti-inflammatories and light massage as you can tolerate, but if you do not treat this it will still go away. If the area does become pink turning to red then it can represent a clotted blood vessel or early infection, and you should see your Plastic Surgeon immediately. 

This is a dilated lymphatic channel. Its not a blood clot. Its nothing to worry about. The drainage of excess fluid of the upper abdomen is toward the breast and then on to the arm pit. This is not uncommon and can be seen in thin women. It will go away on its own. Sometimes a heating pad will make it feel better.Eric Weiss MD

This is a clot in a superficial vein. It is not dangerous to you. It is called "Mondor's Disease". My patients have had great relief using warm moist heat and antinflammatories until it resolves on its own in a few weeks.

What you are describing is called "Mondor's Disease".  It's typically a vein that has clotted off and is now inflamed.  The condition is harmless and will resolve over time.  You can put some warm compresses on it, gently massage it, and take NSAIDS (Advil, Ibuprofen, etc)  for the pain.