Can I pull or strain a muscle in my breast by lifting my 4 year old 25 days after my breast augmentation surgery?

It's 25 day post-op breast augmentation under muscle & my rt breast has had pain, on and off for over the last week or so. The pain has recently moved to my back under my right shoulder blade. Today, in a quick reflex I picked up my 4 year old and sat her on my right hip, I quickly put her down when I felt the pain. Now I have more pain in my r breast and back then ever before,(even with taking Advil). Did I pull or strain my muscle in my breast or should I worry about capsular contracture?

Doctor Answers 7

Muscle pain after lifting child following breast augmentation

Usually by 4 weeks lifting a child will not cause problems after breast augmentation.  However it sounds as though you did strain your pectoralis muscle.  I suggest you see your plastic surgeon for an examination and diagnosis.

Lifting little ones after breast augmentation

Thank you for your question. You definitely want to follow your own surgeon's post-op activity instructions. This is a general guide I give to my patients as to the recovery
Week 1) Discomfort and tightness level progressively decreases with each day. Swelling decreases a great deal after one week. Most people return to work in some capacity.
Week 2) Unlikely to need any narcotic support except maybe at night. Swelling and tightness continues to improve compared to week 1
Weeks 3-6) May need tylenol or ibuprofen for intermittent discomfort. Swelling completely resolved. Tightness may continue as the implants over an additional few months into their final position.

As far as activity, here is a safe guide:
1) No heavy lifting or strenuous activity for 6 weeks (a gallon of milk as a guide).
2) Resume walking at a leisurely pace right after surgery (e.g. 2 mph)
3) At 2 weeks, you can walk 2 miles at 2mph
4) At 3 weeks, you can walk 3 miles at 3mph
5) At 4 weeks, you can walk 4 miles at 4mph
6) At 5 weeks, you can jog 5 miles at 5mph
7) At 6 weeks, you can resume all activities, but listen to your body and use discomfort or tightness as a guide so you don't over do it.

So as far as the little ones, I would recommend having help for basic needs like lifting into the car seat. You can cuddle with them while you are sitting down, but you should avoid the tendency to multitask with one child in your arms while you are busy doing other tasks.

If your pain from your recent activity doesn't subside or gets worse, then I would visit your plastic surgeon.  Otherwise, continue to be cautious and not overdo it.  I wouldn't worry about capsular contracture from this.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Muscle pain after BA

It is certainly possible that you strained a muscle while picking up your child.  This should not lead to capsular contracture unless it caused some bleeding, which would not be expected 25 days following surgery.   You should talk to your surgeon about your concerns.

Samir S. Rao, MD
Chevy Chase Plastic Surgeon
5.0 out of 5 stars 36 reviews

Spasm of pectoralis muscle after a breast augmentation not a cc

What you are describing is a spasm of the pectoralis muscle.  This is not unusual and will get better over time.  Certain activities may make the muscle go in to spasm.  This will not cause a capsular contracture. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Pulled muscle after breast surgery

Good morning, Yes it is possible that you could have strained your muscle with that quick action.  It is always best to inform your PS about any possible complications you may be experiencing.  

Ernest Layton, MD
Houston Plastic Surgeon
4.4 out of 5 stars 7 reviews

Pulled or Strained Muscle after Breast Augmentation

Thank you for your inquiry on breast augmentation and post op care.
I am very sorry you are experiencing this pain.  It is hard to know exactly what is going on without a face to face exam.
  • You should contact your plastic surgeon and make him or her aware of your pain and what has happened.
  • It is important to see your plastic surgeon because she/he knows exactly what was done for you.
Try to refrain from picking up any heavy objects until you speak with your surgeon.

Best Wishes.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Pain after heavy lifting

You certainly can aggravate your pectoralis muscle by lifting your child. The muscle is already irritated due to the breast augmentation. You should rest and medicate the muscle if possible. A reevaluation by your plastic surgeon  is appropriate. 

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.