10 months Post-Op BA : Pain in breast, just moved, where should I go first to gynecologist or to plastic surgeon?

Thank you for your question. I would recommend seeing your plastic surgeon for an in-person assessment. If you already have, a second opinion may be best. 

In Canada you pretty much have to start with a family physician no matter what the issue is (if you want anything to be covered by OHIP or another provincial health insurance plan). They will start working up the problem and then refer you on to the appropriate specialist. Once they determine what type of specialist you are free to request a specific person. Hope that helps! 

I would see a plastic surgeon first to re-examine you to make sure there isn't an issue with the implant, check for a capsular contracture, and decide on further imaging. you may need to get an MRI study to get the best look at the breast tissue and the implant. this is a very sensitive study that may help explain your pain issues but it may also show everything looks fine. nipple numbness can occur after breast augmentation but you may have sustained a nerve injury that is causing your pain issues. if that is the case some medications can help manage nerve pain. hope you find some answers.