I'm set to have a full explant of 20 year old silicone implants & lift, with anchor incisions. Will I feel pain when I wake up?

Thank you for your question. The vast majority of surgeons tend to infiltrate the incision lines with solutions containing local anaesthetic, therefore the degree of discomfort you should feel when waking up should be minimal.Furthermore you will have less weight on your chest  as the implants will be removed and, on this basis, I believe you will be stiff rather then in pain. Hope it helps and good luck for your procedure!Andrea Marando

Good day! The recovery with explantation is almost the same with what you experienced with breast augmentation. For the first 48 to 72 hours after the surgery, patients will feel some degree of pain and discomfort. During the first week after surgery, swelling and bruising will subside and will be controlled by pain medication. With regards to pain, it will depend on the pain tolerance of the patient. In addition to that, I usually suggest to begin walking around the house periodically throughout the day once the anesthesia has worn off. This will help minimize swelling and bruising and help with the healing process. Doctors have different protocols with regards to recovery so it is best to ask your surgeon about this in detail. Best of luck! #RealSelf100

Pain immediately following surgery is typically well controlled, as there is still residual local anesthesia in effect which has yet to wear off. As that anesthesia subsides, there may be more discomfort. It is here that postoperative pain medication will bear the brunt of the load.With reagrsd to nausea, there are medications available such as Zofran/Phenergan/Compazine/Reglan which can all play a role in controlling post op nausea.As always, discuss your concerns with a board certified plastic surgeon (ABPS). 

I encourage you to speak with your surgeon regarding your concerns.  Often you will receive pain and numbing medication during surgery so that you are more comfortable when you wake up.  Each patient and their pain tolerance is unique.  If you typically experience nausea after anesthesia, advise your anesthesiologist before surgery.  He/She can give you medication to help with that.

When you wake from surgery, you will feel pain from both external incisions and internal dissection.  In the recovery room, the anesthesia will wear off and the pain will get more intense.  Usually patients are given pain medication as soon as possible to help relieve the pain. Nausea is also a possibility and usually the anesthesiologist will give a patch to help with that.  I would recommend you consider an alternative to the anchor technique.  The Bellesoma Method will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.Best Wishes,Gary Horndeski, M.D.