4 Weeks After Breast Aug - Severe Pain in Right Breast, Ribs and Right Lung

Question

I had a breast augmentation 4 weeks ago. My right breast is now hurting really bad. I take deep breaths and my right lung hurts and my rib and back on that same side are extremely painful. I started feeling very tired and get the chills on and off. I dont even want to move my right arm. I had surgery under the muscle.

Martin Jugenburg, MD · Answer

If you are having such severe discomfort after your surgery, you should be examined by your plastic surgeon to ensure you do not have infection given that you're getting chills. Also you may need a chest x-ray to make sure your lungs are OK.

Sincerely,

Martin Jugenburg, MD

Sincerely,

Martin Jugenburg, MD

Tim Neavin, MD · Answer

Thank you for your question. If you are still having these issues 4 weeks after breast augmentation then I would highly suggest you to follow up with your original surgeon.

David Bogue, MD · Answer

The symptoms you are describing of feeling pain in your ribs, back, fevers, chills, difficulty breathing are all very abnormal 1 month after a breast augmentation. Hopefully you are reading this response after having been treated. Obvious concerns are for a pulmonary embolism or significant infection. You need to be seen and evaluated by either your plastic surgeon or in the ER.

Rafael C. Cabrera, MD · Answer

the pain you describe on inspiration and in the back and chest is very worrisome for a pulmonary embolism. you need to be evaluated by your doctor ASAP with a Spiral CT to r/o PE and doppler/US of the pelvis and lower extremities to make sure you do not have a DVT. Infections make themselves known are generally not lethal. unfortunately, DVT/PE is extremely dangerous. If your surgery took longer than 1 hour, you are overweight, on birth control pills, or a history of clotting probelms your risk might be higher than normal. get seen now.

Jonathan J. Staiano, FRCS (Plast) · Answer

Severe pain in your chest 4 weeks after breast augmentation is not normal and you should certainly see your doctor as a matter of some urgency.

Timothy Fee, MD · Answer

This is not a typical scenario following a breast aumentation. Please see your plastic surgeon as soon as possible. You may have an infection.

Vincent D. Lepore, MD (retired) · Answer

The symptoms you are describing - pain, especially when taking a deep breath, chills and fatigue - are not normal at 4 weeks post breast augmentation. These symptoms could be associated with an infection, a pulmonary embolus (blood clot), or a pneumothorax (collapsed lung). Check with your surgeon, immediately, to properly assess your condition.

Alan M. Engler, MD, FACS (retired) · Answer

Hi hmasucci85,

	I hope you're not even reading this until after this issue has been treated and resolved.

	This is NOT normal and you need to contact your PS right away.

	It may, in fact, turn out to be something relatively small and/or will just go away on its own over the next few days.  But you CANNOT assume that.  On the contrary, you may have any of several potentially significant issues, such as a blood clot with embolism, infection, muscle tear or even a problem with your lung.

	I know this sounds vague - but these issues are potentially very severe.  You should call your PS ASAP and if there's even the slightest delay or hesitation, go to an Emergency Room and call him or her from there.

	I hope that this helps, and good luck,

	Dr. E

Daniel Greenwald, MD (in memoriam) · Answer

What you describe in not normal and can be related to anything from infection to nerve damage.  See your surgeon soon.

4 Weeks After Breast Aug - Severe Pain in Right Breast, Ribs and Right Lung

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