Should I be concerned about soreness, tenderness and swelling after exercise? Implants under muscle

Its always good to exercise, but if you are noticing some new changes on the reconstructed breast especially after exercising ( using the Pec muscle) its best to get evaluated by your plastic surgeon as this may be due to a any of the few reasons like muscle spasm, new onset seroma , capsular contracture, ruptured implant to name a few. The treatment could be different based on the findings.

Hello @Tough395080, thank you for your question. It is crucial to consult a mastologist so that he or she can perform the Analysis and diagnose the cause of the discomfort. Best wishes! Alan Gonzalez MD, FACS.

Hi. I'm sorry you're having new discomfort with your reconstruction. I suspect you have torn a muscle or scar band with your new activities. If this swelling and discomfort persists and is not improving over the next 2-4 weeks, I would consider getting an MRI to evaluate for possible implant rupture, assuming that you have silicone gel implants and not saline.

Good morning,

Given that you have persistent swelling after your reconstruction, I would recommend you be evaluated in person by a plastic surgeon. I do have patients who are unhappy to have a reconstruction with implants under the muscle who are able to change that to a different kind of reconstruction. Some options include moving the implants above the muscle or switching to a different kind of reconstruction like a DIEP flap which uses your abdominal tissue to make a new breast.

I hope this helps!
Take care,
Dr. Schneider

Hello! If this is a new exercise regimen for you it is certainly possible that you may have overdone it and caused swelling from overuse of your pectoralis major muscle. Swelling that doesn't resolve over a week or two may be a symptom of a bigger problem and warrants a visit with your plastic surgeon. If you also have redness, increase in firmness, or overall feeling unwell, you should follow-up immediately. Hopefully you were just a little overzealous with your yoga and it should resolve soon. Your plastic surgeon will always be happy to address your concerns, so it's always safest to give her a call.