Sadness / Disgust - Range of Emotions After Breast Augmentation

Question

Hi, I had a breast augmentation 10 days ago. On about days 6, i started noticing that whenever i touched my breasts or even clothes brushed passed them, i get a wave of emotions. The main emotions are sadness and disgust. Then a few seconds later it goes, until they are touched again. I dont feel depressed, but it is really getting me down. I love the look of my new boobs so far, but this is making me wish i hadnt had them as this feeling i keep getting is making me so uncomfortable. Plz Help!

Larry S. Nichter, MD, MS, FACS · Answer

The first weeks can be really difficult– physically and especially emotionally after any cosmetic surgery and breast augmentation is no exception  Assuming your surgery went well this may be a normal reaction. Although several factors may be involved causing this including underlying stress, medications, psychological tendencies, etc - many women experience a sequence of emotional feelings "Emotional Rollercoaster" following aesthetic surgery - but it does pass. Having a  partner, family member , or friend  who  is supportive can help this process.The stages of emotional ups and downs if understood in advance  can help you stay  calm and get you through this process more quickly.Phase 1 –  Being Out of ItSwelling and discomfort is most severe over the first few days after breast augmentation. Pain medications also can make you disoriented and emotional.Phase 2 – Mood SwingsHaving just had breast augmentation you are adjusting to  a sudden change in your appearance with much anticipation.. The presence of  bruising, swelling, and edema, your breasts aren't going to be look like the final outcome. Mood swings especially sadness, worry and depression are common.You may even ask: "What have I done?" or think that "I never should have done it" Phase 3   Being over criticalDuring the second week you  will probably be feeling a lot better. The edema (swelling) and muscle cramping/spasms if implants were under the muscle  will be decreasing and stiches out.. Because  of anticipation it is natural for you to look critiacally at your new breasts  worrying about symmetry, scars, and so on. . So; it's normal  to wonder if  you acheived your goal and "what you paid for" .  This is too soon to tell and most concerns are resolved with time. Phase 4 Happy at lastFinally,  about  week 3 or so, you will probably start liking how you look and are feeling much better.. You may be in the mood to buy your new bra to check out the size difference, check out some bathing suits or tops to show off your new figure and show off.Larry Nichter, MD, MS, FACS

J. Brian Boyd, MD · Answer

Ten days is FAR too early to evaluate the results of breast augmentation or any other aesthetic procedure. Keep in contact with your surgeon, listen to what he (or she) says, follow instructions and be patient.

Rafael C. Cabrera, MD · Answer

nipple sensitivity can be increased or decreased after surgery. the nipple is actually hardwired to the posterior pituitary where it sends a signal to release oxytocin. this hormone leads to the milk letdown reflex. I have never read or heard of these emotions being tied to surgery but women often describe heightened emotions during breastfeeding. weird huh? like most things (we have no idea about), it will definitely get better.

Fereydoon S. Mahjouri, MD · Answer

Your symptoms are quite uncommon and has never been expressed nor being reported . I think there is some pschychological factors involved . For next few weeks cover your nipples with some soft pads to protect them from random & accidental touchings . Also try periodic gentle massage while taking shower or resting in bed .Focus on the positive side of your enlarged breast instead of regretting about your decision for surgery . Youi will be rewarded by being patient. Please report back in a month. I am very interested to hear from you & your progress.

Jonathan J. Staiano, FRCS (Plast) · Answer

Dear Onlyme,  Your symptoms are very interesting.  I have heard of all sorts of odd feelings following breast augmentation, but I have not heard of having a wave of emotions when the breasts are touched.  It can be very strange in the immediate post operative period and your body needs to adapt to the stretching caused by the implants.

	I wouldn't make any long-term decisions at this early stage and I would be confident that things will settle down.  Try to be positive and give it time.  Good luck.

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