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You should definitely visit with your plastic surgeon to determine what is going on. The risk of capsular contracture (a firmness of the breast caused by the scar capsule that can be distorting) is higher in reconstruction (than in augmentation). Sometimes more aggressive massage or visits with a physical therapist trained in helping with capsular contracture can be a benefit early on. Sometimes people need further surgery for that issue. But, I do have patients who experience tightness without contracture especially in the first weeks following surgery. I use low dose Valium as a muscle relaxing agent. Some surgeons use Soma or another alternative to help. Your surgeon will be able to help sort this out. Good luck to you!
The pain and tightness in your breast may not be due to "muscle spasm" but may be from other causes. Depending on the type of reconstruction you had and your cancer treatment surrounding the reconstruction (chemotherapy, radiation, etc), these factors all contribute to changes in the breast with implant based reconstruction. I suspect that you may have something called capsular contracture which can lead to tightness and pain around the implant. This condition can be treated in many ways but sometimes necessitates removal of the implant. I would suggest that you seek a consultation with either the person who did your reconstruction or a local board certified plastic surgeon to discuss the problem and review possible options for treatment.Good luck to you!
Generally speaking, you have very reasonable results from your reconstruction.That being said, let me see if I can help you some. If the implants you have in are mentor anatomical 330cc implants, then the dimensions of that implant are 12.0 cm wide and 11.3 cm high with 5.1 cm of projection....
There is no exact correlation between "cc" and cup size. The "cc" distribute over a chest width and height that differs in different woman. For example, a petite woman with 500cc looks very different than a stocky obese woman with 500 cc.You have to go by "look." And you can try on soft bras to...
This really depends on the mastectomy flaps.  Putting too much fluid in an expander can compromise the blood supply to the mastectomy flaps and cause necrosis of the flaps.  Most people generally start with 50-100 cc.  I believe it is wise to stay on the conservative side as flap...