My saline implants are 15 years old and I am having burning pain in my right breast?

Question

I woke up with burning pain this morning. it has gotten better but still hurts. what could be wrong?

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  Because of the pain you are experiencing, I would encourage you to follow up with your operating board certified plastic surgeon for an in person evaluation.  It is possible that this pain you are experiencing is muscular in nature or the result of some physical activity, trauma or simply sleeping differently, but it might also be the sign of capsular contracture or scar tissue formation.  Please also remember that saline implants are not intended to be life long devices, and the current recommendation is that saline breast implants be replaced every 8-10 years.  I hope this helps and I would again encourage you to schedule an in person evaluation for the best advice.

Jon Paul Trevisani, MD, FACS · Answer

Hello and thank you for your question!  I would advise you to be seen by a board certified plastic surgeon for an in-person evaluation and be examined.  I hope this helps and best of luck to you!

Larry C. Leverett, MD, FACS · Answer

There are many  reasons for post surgical breasts discomfort years after breast surgery. Some may be related to the breast surgery. Others may not be. You will need an exam by a board certified plastic surgeon and he/sh may order tests to help clarify the diagnosis, if needed. There are many qualified surgeons here in our metro Phoenix area. Eventually, you may require surgery.

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,

One possible reason is capsular contracture, which is not unusual after 15 years. If you are experiencing pain and distortion in your breasts, it might be a good idea to get a plastic surgical assessment to see if your implants are still giving you the best possible results

Martin Jugenburg, MD · Answer

It is difficult to assess without seeing you in person. Please contact your surgeon for an in person assessment.Regards,

John J. Corey, MD · Answer

I don’t think it has so much to do with the type of implant you have pics. 15-year-old ceilings are great… You have gotten your moneys worth out of those! But burning pain on the side of her breast may be several things. One is you may have just slept on it funny or done something activity wise that has aggravated a nerve over there and the fact that it has gotten better is good. Give it some more time.  Another reason I see burning pain on the side of a breast is when the capsule tears or stretches over time and the implant slips too low. The hallmark of this is when a woman has pain as soon as she off her bra and feels like she always has to hold the bottom of her breast up with her forarm, almost like her arm is in a sling. I also occasionally see patients who actually have a rib pain from costochondritis and it is not their implant or capsule . There is tenderness on a rib up underneath the implant and it can give breast pain as well.  But give it more time and see a plastic surgeon if it’s not gone after six weeks!!!

Daniel Barrett, MD · Answer

Hi dmatoy, I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit a board certified plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice. Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery 
  
Member, Am. Society of Plastic Surgery

Tim Sayed, MD, MBA, FACS · Answer

Pain in the breast could be related to the implants - for instance, a late-developing capsular contracture or rupture of the implant with associated inflammatory reaction - but could also be unrelated and be something going on with your native breast tissue. You need to be examined in person for someone to inspect and palpate the breasts, and you may require a mammogram, ultrasound or MRI (or perhaps a few studies) as part of a workup.

Ven Erella, MD · Answer

Thank you for your question. It will be difficult to comment without examination. I recommend you to see a board certified PS for evaluation

Douglas J. Raskin, MD (retired) · Answer

Greetings,There are a multitude of potential causes for your one sided burning pain. Is the implant hardened with a contracture? Have you experienced recent trauma or an infection?The best way to resolve your concerns is a visit back to an experienced plastic surgeon for an evaluation.Best Regards,

My saline implants are 15 years old and I am having burning pain in my right breast?

Answers (10)

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