May implant removal stop breast pain? I had 360ccs under the muscle 4 years ago and have had pain ever since.

Question

I had 360ccs under the muscle 4 years ago and have had pain ever since. It's a dull ache all over the boob, mainly on the lower half. Sometimes it flares up and is worse then other times. My surgeon/Dr said it's not typical of nerve pain and dont know why I'm in pain. It isnt capsular contracture yet feels firmer/tense on the painful side. I want to have an explant and lift. May explant fix this unusual pain??

Camille Cash, MD · Answer

I'm sorry to hear of the discomfort you've been experiencing.  As your pain began with the augmentation there is a chance it will be relieved when the implants are removed.  Your surgeon should be able to tell you if there is capsular contracture present.

Eileen Summer Black, MD · Answer

patients do occasionally get chronic breast pain with implants. it seems to be more common with implants that are under the muscle.  if the implants are the cause of the pain, I would expect that the pain would resolve after the implants are removed.  I would recommend finding a board certified plastic surgeon near you and discussing your concerns with them.

Gary M. Horndeski, MD · Answer

I do not recommend implants
and instead I recommend explantation using The Bellesoma Method.  The implants are removed, your breast tissue
is reshaped creating upper pole fullness, elevated higher on the chest wall and
more medial to increase your cleavage. 
Vertical scars are avoided, nipple sensation and the ability to breast
feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can
be performed if additional volume is desired. 
No technique can guarantee elimination of your pain but removing the 360
cc implants will reduce the pressure on your nerves.     Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

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

Susan Buenaventura, MD, FACS · Answer

If pain started after the implants, then it is possible you will feel better with the implants removed.  If one side feels firmer and has the pain, then perhaps you do have a capsular contracture.  Removing the implant will answer the question.  As you are in pain, I might suggest just removing the implant, letting you recover and then doing the lift at a later date so you can evaluate clearly how you feel without the implants.   Best wishes to you.

May implant removal stop breast pain? I had 360ccs under the muscle 4 years ago and have had pain ever since.

Answers (5)