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

Question

I got saline implants in '05. I experienced some nerve damage; my nipples & a quarter-sized area to the outer upper region of either nipple was numb for some time. Over the years the numbness resolved & I regained almost full sensation. For the past 2 months I've been experiencing extreme tenderness in this same area and also what feels like possibly nerve pain deep behind my nipple. Any type of touch is intolerable. It is not improving. Shape/size unchanged. What is going on?

Jose Telich, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Vishnu Rumalla, MD · Answer

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.

Camille Cash, MD · Answer

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.

Jonathan Heistein, MD · Answer

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.

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

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

Answers (7)

Answer: Pain

Answer: Pain

Answer: Breast pain

Answer: Breast pain

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.