Ripping of Breast Tissue Normal After Breast Augmentation?

Help... I had breast implants placed above the muscle and place through under my boob. About an hour after I was in recovery, when I got out of my bed I felt a EXTREME PAINFUL rip or tear in my upper and inner cleavage area in my right boob. I told the nurse something just ripped and how painful it was. When I saw my doctor the next day I told him and he said everything was fine.

My body is telling me something is wrong, something happened right out of surgery that I felt this horrible extreme ripping. Can someone tell me if this is normal or do I need my tissue internally stitched back together or whatever it maybe that ripped? I feel the pressure of it pulling when I lay down as I believe it is possibly torn breast tissue? Will it get worse if I don't get it repaired?

I feel I shoud have be rushed back into the O.R and had it fixed right away since I just got out of surgery... Please send advice.

Doctor Answers 6

No reason to rush repair if breast shape looks good

The painful sensation you felt was more than likely a secondary to a muscle spasm. It may also have been related to a stitch popping. In any event, if the breast shape looks good and the implants feel intact, there is no reason to rush in for additional surgery. Your surgeon will be able to tell if the implants feel intact.

Denver Plastic Surgeon
4.9 out of 5 stars 79 reviews

Sensation that something "ripped" after above the muscle breast implant placement

While I understand and "feel" your anxiety, to some degree, you have to trust your surgeon's skills. There are few things that you can "rip" above the muscle. If you do not believe in your surgeon's assesment, you can go to a freestanding MRI facility and pay for a scan which will run around $500.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Breast augmenation

Since your doctor saw you and said that everything was OK, you probably had normal post-op pain when you felt the pull. This really could be from so many different things, but it sounds like normal initial post-op pain that should get better with time

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast augmentation result should look good and symmetrical.


About the only thing that requires immediate surgery after breast implants is a hematoma, which causes one breast to become large, hard , and painful. You dont have that.  If your breasts look fine, pain will probably go away.

If not sure, get another opinion.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Trust your surgeon


If your surgeon has examined you and figures that things are OK, then you have two choices:

(1) Trust him.

(2) Get another opinion. See another surgeon for an examination to inquire into the potential for a problem.

From what you write alone, it is impossible to figure out if there is a problem or not.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Don't rush back to surgery

Just after surgery there are many reasons to have severe ripping type pain. Remember that the tissue planes had to be separated to insert the implant. Pain is not necessarily an indicator of a complication. The reasons that would require immediate surgery are generally quite obvious. If the appearance of your breasts are good, and your surgeon cannot detect any problems with the operation, this is a pretty good indication that the pain you feel will resolve. To ease your mind further, you can always seek a second opinion.

Phillip H. Nakano, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.