What is this ripping or tearing like pain under my scar 4 months after Breast Lift?

At times, scars from breast surgery can get thick and uncomfortable.  The scars typically are thickest around 2 months out from surgery and then begin to soften. Scar massage, silicone gels and tape can help modify the scars to soften them.  At times, small steroid injections can help as well.  Best to have your surgeon evaluate and educate you on best options for you.  

The patient will go home in a bra or with only
light dressings over the incision lines. Sutures are dissolvable but an ending
knot, if present is removed within 1-2 weeks. Initial discomfort is easily
controlled with oral medication. Light activities may be started in 7-10 days.
Over time, gravity will continue to have an
effect and the breast skin will tend to stretch. The degree of #stretching and #sagging
varies between women: generally, women with smaller breasts experience less
recurring sagging. If sagging does occur, further excision of the skin on an
outpatient basis can be used to correct the problem. Heavy and large breasts
may lead to recurrent sagging and may require the removal of a small amount of
breast tissue to achieve an optimal shape and size. One key to a satisfying
result is realistic expectations.
All surgical procedures carry some degree of
risk Any breast operation can result in changes in sensation. This happens less
with lifts than reductions but is still possible Occasionally, minor
complications occur and do not affect the surgical outcome. Major complications
associated with this procedure are rare. The suitability of the breast lift
procedure and specific risks may be determined during your consultation.
#Hypertrophic or #keloid scars can be a
problem. The worst are usually under the breast with an #AnchorLift or inverted
“T”. These can be treated like all thickened scars with re-excision, laser,
kenalog/5-FU injections, creams, silicone strips and other methods to reduce
and improve healing. The best thing to do with any of these concerns is to visit your surgeon right away for an examination to make sure whether any additional treatment is needed and that all healing is progressing well. Good luck.

often do go away on their own.  If severe, ask your surgeon for a steroid injection into the spot where the pains start to some temporary relief and steroid effect on the 'crazy nerves' that are presumably causing this.  If that doesn't work, scar revisions may always be considered.