I Am 5 Weeks Post Op Breast Augmentation, And Have Had Severe Pain Since. What's The Cause? (photo)

I had severe pain on my left breast that was caused by the stretching of the nerves, inflammation around the nerves, and swelling. I was prescribe to take steroids which alleviate most of the pain but I currently still feel that my left breast is still very sensitive (more pain and swelling) when I move minimal such as driving or washing dishes. When I rise up from my sleep, I can feel a some pain when the implant is moving downards. Could I Have hematoma? I am afraid to have capsular contracter

Doctor Answers 12

Should I Still Have Pain Five Weeks After A Breast Augmentation?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Every surgery if different, every person's perception of pain is different, but severe pain five weeks after a breast augmentation is incredibly unusual in my experience.  You need to see your plastic surgeon and have a complete evaluation.  If the pain doesn't subside in the next couple of weeks, a referral to a pain management specialist might be appropriate.  Pain always subsides and things always get better, but you shouldn't have to suffer until things get better.

Pain with breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is a bit unusual for patients to have pain from breast augmentation at 5 weeks after surgery. It can be from spasm of the muscle, and stretchng in general.  But there are other causes as well.  An exam with your doctor is probably necessary.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In some situations I have offered a combination of neurontin (settles hyperactive nerves) and elavil. This combination is often used for over excited nerves such as carpal tunnel syndrome or chronic pain syndromes. It has worked well for me in the past.



Timothy Fee, MD
Jacksonville Plastic Surgeon
4.3 out of 5 stars 58 reviews

Asymmetric pain is common after breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Pain that is greater on one side than the other is very common after breast augmentation surgery.  Uneven swelling and shape are frequently seen, as well, at this point in healing.

The pain symptoms that you describe are not rare.  Usually, they get better with time, but sometimes require the use of medications or additional surgery.

We do not really know for sure what causes pain symptoms.  Common explainations include:

  • stretching of the nerves
  • inflamation around the nerves
  • direct damage to or trauma of the nerves
  • scar tissue around the nerves
  • infection
  • hematoma
  • capsular contracture

Based on your story and photo, infection, hematoma and capsular contracture seem less likely.

Keep in contact with your surgeon and let them know if you are not getting better or are getting worse.  Give it time and good luck.

Michael S. Hopkins, MD (retired)
Albuquerque Plastic Surgeon

Pain after breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I have had a very few women who had breast implants with pain out at 5 weeks or longer, and it is usually due to nerves being stretched, causing a sharp stinging pain which shoots to the shoulder blade. Over time it should improve.

Victor Au, MD (retired)
Chapel Hill Plastic Surgeon

Pain Post Breast Augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

At 5 weeks postop, you are still early in your recovery period and are likely to experience occasional mild to moderate pain.  You will continue healing over the next 6-12 months, and as you do so your pain will be less and less.  Sometimes women will have tenderness at the inframammary incisional scar or slightly below it.  This area may feel firm or may even look like a raised “guitar string”.  This may be what you are experiencing 5 weeks into your recovery.  Anti-inflammatory analgesic like Advil or Naprosyn and massaging of the area can be helpful.  I expect that the pain will go away over time.  Always follow-up with your plastic surgeon so that he or she can determine that your recovery continues on track.

Paul Fortes, MD
Houston Plastic Surgeon
4.1 out of 5 stars 17 reviews

5 weeks post op pain

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for the question and photo.  You're still in the recovery stage after surgery.  You have very nice results and by your photos it does not appear that you have a significant hematoma. However, an examination is necessary to determine that.  Capsular contracture could result in pain particularly with movement of your hands.  Your surgeon should evaluate you and examine you to determine if you have developed capsular contracture.  Also, caffeine and bromine (in chocolate) can irritate breast tissues and make them very sensitive.  If you take large amounts of either, try cutting back or stopping.  Visit your surgeon and keep us posted wit what happens.  Wish you the best and quick recovery!

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 122 reviews

Pain several weeks after breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I believe that it is a bit unusual for you to have severe pain 5 weeks after breast augmentation surgery and I would encourage you to discuss this with your surgeon. Certainly, discomfort and tenderness are not uncommon at this point in your post operative course, but severe pain should be evaluated.

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon
4.9 out of 5 stars 33 reviews

5 weeks post op breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Most people will experience a difference in pain and or swelling after surgery when comparing the right and left sides. This is perfectly normal even at 5 weeks.  You photos demonstrate mild swelling on both sides and it appears as if the left side may be starting to settle.  Be patient and discuss your concerns with your doctor,  Good luck

Beverly Friedlander, MD
Short Hills Plastic Surgeon
4.8 out of 5 stars 19 reviews

Pain after Breast Augmentation?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question and picture.

I do not see any evidence of hematoma in your picture.

It would be in your best interest to be examined carefully  by your plastic surgeon;  he/she is in the best position to help you.

Best wishes.

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.