Difficulty breathing after breast surgery

Dear cinthyagb,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. The weight of your implants could contribute, but other possibilities, such as muscle tightness, capsular contracture, or psychosomatic effects, should also be considered. Large implants can exert additional pressure on the chest wall or diaphragm, making breathing feel harder, especially when lying down. Muscle tightness may lead to a sensation of restricted breathing, especially during deep inhalation. Early capsular contracture (formation of scar tissue around the implant) could give a feeling of tightness or pull in the chest. Also, surgical trauma or swelling may irritate nerves around the chest, causing sensations that mimic breathing difficulty. Work closely with your surgeon to exclude all these causes, share your symptoms, ask for an evaluation of the implant size and placement, and request imaging (ultrasound or MRI) to check for capsular contracture or other structural issues. If your current surgeon cannot identify the issue, consult with another surgeon for another perspective.

If you are experiencing difficulty breathing when laying on your back and your implants are large, they may be contributing. It sounds as if you are following the appropriate channels to ensure there is no pulmonary embolism which is important. I encourage you to discuss your concerns with your surgeon.