Breast pain still 3 months after augmentation. Should I ask for a revision?

Question

Hello, I had an implant exchange with periareola lift and internal mesh. The left breast has hurt since the beginning and still does 3 months post. I can also feel a hard object at the bottom of left breast. The right one is fine. My surgeon says it might be where the mesh is "bunched up". Should I ask him to do a revision? Is this normal?

Daniel Barrett, MD · Answer

Dear LKH123,
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 or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Randal Haworth, MD, FACS · Answer

Persistent pain and the sensation of a hard object in the breast after implant exchange and periareola lift with internal mesh could indicate various issues, including issues with the mesh or implant. It’s important to address your concerns with your surgeon and, if necessary, seek a second opinion from another qualified professional.

Discuss your symptoms in detail, including the specific location of pain and the sensation of a hard object.

Best of luck !

Discuss your symptoms in detail, including the specific location of pain and the sensation of a hard object.

Best of luck !

Irena Karanetz, MD · Answer

Hello,

Thank you for the question.

You are still in the early stages of wound healing after surgery.  
The pain and firmness may be related to the mesh and scar tissues forming.

It can take up to 1 year for the final wound healing to take place.

I would encourage you to discuss your questions and concerns with your Plastic Surgeon.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Camille Cash, MD · Answer

Breast pain three months after your breast implant exchange should be investigated.  Continue to follow up with your surgeon to try to pinpoint the cause of the discomfort.  If you and your surgeon have determined it is the mesh you can discuss options on how you want to proceed.

Heather Vande Ven, DO · Answer

Persistent breast pain three months after augmentation may be a cause for concern. It's important to consult with your plastic surgeon who can assess your specific situation.Several factors could contribute to ongoing breast pain after augmentation, including issues with implant placement, scar tissue formation, or other complications. Your surgeon will be able to evaluate your symptoms, perform a physical examination, and may order additional tests or imaging if necessary.Before considering a revision, it's crucial to communicate openly with your plastic surgeon about your concerns. They will be in the best position to provide guidance based on their expertise and your individual case.If you are experiencing severe or sudden pain, swelling, redness, or other concerning symptoms, it's important to seek immediate medical attention.

Connie Hiers, MD, FACS · Answer

You many still have some pain this early from surgery and you usually can feel the mesh for many months. Unless your surgeon sees a need for early surgery, it is best to wait at least 6 months before doing a revision. Pain is usually not improved with surgery, but with time.  The mesh will also soften over time.

Breast pain still 3 months after augmentation. Should I ask for a revision?

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