Could I have a pneumothorax from my breast enlargement?

Question

I had a sub-muscular BA 2 days ago, 410 and 440 high profile. The initial 6 hours after surgery was ok but I have since developed serous pain in my upper back, I feel like someone has stamped and trampled on my shoulder blades. I started with nausea and vomiting around 12 hours ago and called the nurse who advised it could be down to painkillers/antibiotics (cocodamol 500/30mg x2) so to take paracetamol instead.continuing to vomit, the pain across my back is horrendous and so much pressure front

Adam Tattelbaum, MD · Answer

Neck back and shoulder pain are common after the placement of implants. The implants pull on the tight pectoral muscles which in turn pulls on the shoulders and neck.Pneumothorax is  a rare, but possible complication. It is easily ruled out by a chest x- ray.When in doubt call you PS again now.

Andrew L. Greensmith, MBChB, FRACS · Answer

if you have had a sudden change and pain of this nature and location you urgently need to be checked by your surgeon or a local hospital emergency department if your surgeonis not available

Keith Denkler, MD · Answer

Best you be seen in person for an evaluation.  A pneumothorax is diagnosed on exam by listening to the chest, or with an X-ray.

Steven Wallach, MD · Answer

Usually pain medications will help normal post-op discomfort. If it is really severe, then it might be worth seeing your doc or calling him to review the care and to make sure you do not have a hematoma or ptx..

Millicent Odunze Geers, MD, MPH · Answer

Pneumothorax after breast augmentation is a possible complication. A physical examination at minimum and a chest x-ray are necessary to diagnose this condition. You should proceed immediately to your plastic surgeon for follow-up or to the nearest emergency room.

Could I have a pneumothorax from my breast enlargement?

Answers (5)