The pain must be making things difficult for you, and this is understandable. Please know that what you are feeling is quite normal, both in regards with the pricking sensation, and the low mood. 1 in 7 women after BBA experience changes in their breast sensation, and some can have hypersensitivity where they experience burning pain even with slight touch. You are experiencing a form of this and it may be due to activation of free nerve endings close to the implant. Gabapentin may help, but it is best to ask your surgeon before starting anything. This type of pain is temporary and lowers in scale as the breast tissues stretch and accommodate the implant. With regards to the mood, please know that many women complain of depressed mood after surgery, so you are not alone. This can be due to facing difficulty in recovery both physically and emotionally. There is normally an emotional cycle of ups and downs that most patients undergo. Post-operative depression is real, and its effects can be minimized if patients are prepared for and understand it in advance. Emotional Rollercoaster (Low Energy) – 1st few week There will be swelling, pain, discomfort, and physical change. This is a time when your inner and outer energy level will be low making you disinterested in other things. Pain medications will make you disoriented and emotional with feelings of depression coming about the 3rd or 4th day. General Anesthesia Traces of anesthetics used to make you sleep during surgery can temporarily stay in your body’s tissues affecting you both physically (fatigue and exhausted) and emotionally (depressed and in despair) for up to 3 weeks. Pain medications In addition to reducing your pain, your use of narcotic pain killers which are also considered depressants also slow everything down like alcohol bringing out a range of emotional reactions based on the mood and atmosphere of their surroundings. Physical Restrictions inherent in recovery Your usual routine in life will be dictated by the instructions for recovery which limit your movements by many weeks to allow healing. For example, you will not be able to fully use your chest muscles for a couple of weeks limiting your ability to drive, pick up things that are more than 10 pounds, change clothes, etc. Because of this loss of control of your body, your looks, your schedule, you will be stuck in bed, depending on others with basic tasks such as self-care and other daily-activities minimizing your level of independence. Because of being out of your comfort zone, you may experience feelings of restlessness, helplessness, hopelessness, and boredom. Due to the lack of exercise, your brain will only provide a short supply of endorphins, which is never a good thing mood-wise. Steps to prevent the feelings: Get support from your loved ones: recovery can be difficult when you are alone and full of emotions. When your partner, your family member, or friend provide help in a supportive way, it can be very comforting to know that you’re not alone in this especially because you will have someone to share your concerns and feelings with. Plan your recovery before surgery: with the physical and emotional stress, coming into recovery without a simple plan can be more troublesome. You should be eating healthy, fresh, and nutritious meals/snacks to aid the healing process, you should have comfortable clothing, and have no difficulty in getting access to the bathroom, warm settings, and entertainment (books, magazine, T.V, laptop, phone) at home to pass the time. You will want to drink lots of water and gets lost of rest. You should always follow your surgeon’s instructions for recovery. Please share your feelings and concerns with your plastic surgeon as they will be in the position to best help you with not only you physical concerns, but your mental and emotional concerns. Best of luck in your recovery!