Old Implants, New Pain. Should I be concerned? Generally very active but did begin a different type of workout prior to this.

One possible explanation for your symptoms could be capsular contracture. This occurs when the scar tissue around the implant becomes thick and tight, causing pain and discomfort. The fact that your implants have been in place for almost two decades may increase your risk of developing capsular contracture.
If your symptoms persist and don't improve with time or treatment, it may be necessary to consider implant removal or exchange. It's important to discuss these options with a qualified plastic surgeon who can evaluate your situation and provide you with the best possible advice.
It's also worth noting that you mentioned starting a different type of workout prior to experiencing these symptoms. It's possible that your new exercise routine is contributing to your discomfort, so it's important to consider this as a possible cause and discuss it with your doctor.
In any case, it's important to stay vigilant and take any changes in your body seriously. Don't hesitate to seek medical advice if you're experiencing discomfort or pain, as early detection and treatment can often lead to the best possible outcomes.

Dear shawnao,
I understand your concern. I recommend my patients to replace implants every 10 years in order to reduce the risk of complications. However, without a proper assessment, it would be difficult to determine what went 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks for your inquiry and sorry for your struggles. It is best you seek an in person consultation with a board certified plastic surgeon as an exam is essential. Causes for evolving pain can be everything from non-implant related conditions from benign, inflammatory, to cancerous. In terms of the implant, I have had two patients where the pain began years after surgery with a saline devoice and in both cases the valve cover on the implant had grown into the flesh as to where the implant got stuck under the nipple areolar complex. When I replaced implants--it resolved, best of luck.

In any situation where there is a change in the way your breasts look or feel, I encourage you to go to your surgeon for an in person evaluation. You may also need a mammogram or ultrasound but your surgeon can arrange that for you. Hope that helps.

It is possible that you may be experiencing a complication related to your saline breast implants, such as capsular contracture or implant rupture, although it is difficult to determine the exact cause without a physical examination. However, given your history of nerve damage, it is also possible that you are experiencing nerve-related pain or sensitivity in the affected area.

It is important that you schedule a consultation with a board-certified plastic surgeon or a healthcare professional experienced in breast implant complications. They can perform a physical examination and conduct further diagnostic tests, such as imaging studies, to determine the cause of your symptoms and recommend appropriate treatment options.

In the meantime, you may find relief from your symptoms by avoiding any stimulation or pressure on the affected area and taking over-the-counter pain relievers as directed. You should also avoid any strenuous physical activities or heavy lifting until you have been evaluated by a healthcare professional.

Best of luck !

If you began a new workout routine just prior to the pain you may want to rest the area for a few days to see if the pain improves. If it doesn't you will want to visit with a board certified plastic surgeon near you for an evaluation. An examination is needed to determine next steps.

I would first get a mammogram to check your breasts, and then visit with your plastic surgeon to see if you have developed a capsule.