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.

I would recommend at the present time to go to the gynecologist to make sure it is not an issue with the breast as that is more important to make sure your breast health is good. If that is completely normal then you can go to a plastic surgeon.
 

Consider consulting a general surgeon.  They are very well trained in breast diseases and evaluating breast pain. If you have seen your plastic surgeon and he /she feels that everything is ok with the implant, then I would see a general surgeon for the next step. 

Hello.  
Thank you for your inquiry and congratulations on your surgery!  
 It is important to have an in-person medical assessment with both your surgeon as well as your gynecologist regarding this issue as it is difficult to determine virtually. 
Continue to update your doctor in the matter and follow their post-op protocol. 
It is important to get cleared by your doctor before engaging in specific physical activity before the 3 month healing period has ended as the healing stage is crucial for healthy results. 
Our tips for recovery following breast augmentation are to wear a supportive sports bra for 3 months post-operative and refrain from lifting anything heavier than 10 lbs for 3 weeks as we don't want any strain at your incision sites. Make sure to keep the area of your stitches clean by cleansing with hydrogen peroxide daily. Showering is encouraged! But, no sitting in water for 2 weeks following surgery (no baths, hot tubs, pools etc.).  
Please note that this response does not substitute patient-doctor relationship. 
We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only. 
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. 
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment! 
M.Kara,MD,FRCSC (27+ years experience) 
- Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind 

I would suggest that you consult with a Plastic Surgeon first because you had breast augmentation and you feel that the right breast doesn't  feel the same as the left. You may then need to see an Ob?Gyn doctor pending what the PS finds. Good luck!