Reason for Pain and Constant Discomfort in Breast?

August will be 2 years since I have had my breast augmentation. I chose silicone implants. Since then, my left breast has had painful sensations along with tingling, burning, itching, sharp pain in my nipple, and basically nonstop discomfort.

I have check with both my surgeon and general dr about this but neither seem to think it's a problem. I have had a mammogram/ultrasound done and both came back normal. I can't continue to live with this pain and constant worry about what could be wrong.

Doctor Answers 7

Breast pain after augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Sorry to hear your story. 
I am seeing more and more patients who come in with chronic pain after implants placed under the muscle.
They get an impressive immediate relief from moving the implant on top of the muscle.
It is something for you to consider.
Wishing you relief.

Gainesville Plastic Surgeon
4.9 out of 5 stars 32 reviews

Breast Enhancement Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
When people have pain after breast augmentation I get worried that they may have ruptured an implant so I always start with ordering an MRI

Pain 2 years after breast augmentation not normal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Based on what you describe, you could be experiencing neuropathic pain (pain from a sensory nerve that is irritated or inflammed).  Its great that you already completed your mammogram.  If you have already visited with your plastic surgeon, you may want to consider seeing a pain management specialist for non-narcotic treatment.  Best of luck.

Pain and Discomfort after Breast Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Pain and discomfort after breast augmentation is common during the first few weeks and a month or two after the procedure. Occasionally some patients may experience increased sensitivity of the areolas because after the augmentation their nipples may stick out to a degree that it gets irritated, but this usually goes away a few months after surgery. If a patient continues to have discomfort and pain after several months following a breast augmentation. This also may be related, a situation called capsular contracture which may cause a hardness and deformity of the breast. Usually the final stage of capsular contracture is painful as well. 

Pain in breast 2 years after breast implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Based on your symptoms it sounds like you have nerve pain due to a sensory nerve being stretched by your breast implant.  You should not have this type of pain 2 years after surgery. You may be able to get temporary relief with lidocaine injections, but you may need revisional surgery to address this problem.

I recommend you consult with your plastic surgeon or seek a second opinion for this issue.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 412 reviews

Reason for pain and constant discomfort in breast?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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.  At 2 years, this may not change.  I would suggest seeing your surgeon for advice and/or consideration for imaging.  Consideration for explantation is always an options as well.

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.

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

It is always a challenge treating pain

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
2 years of pain is not normal. A reevaluation to identify the root cause would help. If all else is normal, it is probable that your persisting symptom is from nerve injury. Implant removal does not reliably decrease pain. While you may consider the option of implant removal, there is no certainty in its effectiveness in managing intractable breast pain.

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 21 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.