Pectoral/chest pain 2 years after explant/lift with muscle repair, any advice?

Since your surgeon retired she/he will typically give their cases to another colleague to follow. You may want to see that surgeon as they will have access to your records if you don't have a copy. Further testing if necessary can be ordered by that physician.

Persistent pectoral or chest pain two years after an explant with a lift and muscle repair can have several possible causes. Here are some potential reasons and advice on what to do next:
Possible Causes:
1. Scar Tissue (Capsular Contracture or Adhesions) – Scar tissue can form after surgery and sometimes pull on surrounding structures, causing discomfort.
2. Nerve Sensitivity or Damage – Nerves can take a long time to heal, and some may become hypersensitive or irritated.
3. Muscle Weakness or Imbalance – After muscle repair, tightness, weakness, or improper healing could lead to pain, especially with certain movements.
4. Residual Inflammation or Fatigue – Chronic inflammation in the chest wall or surrounding tissues may cause lingering pain.
5. Costochondritis – Inflammation of the cartilage connecting the ribs to the breastbone can mimic post-surgical pain.
6. Postural Issues – Changes in breast weight and support after explant/lift surgery may have altered your posture, causing strain in your chest muscles.
What You Can Do:
✅ Consult Your Surgeon – Your surgeon or a specialist can check for scar tissue, muscle issues, or complications.
✅ Physical Therapy – A therapist can help with strengthening and stretching exercises to improve muscle function and reduce discomfort.
✅ Massage Therapy– Helps break down scar tissue and relieve tension.
✅ Anti-Inflammatory Approaches – Over-the-counter NSAIDs, heat therapy, or supplements like turmeric may help.
✅ Breathing Exercises & Posture Correction – Deep breathing and posture-focused exercises can reduce strain on your chest muscles.
✅ Imaging (Ultrasound, MRI, or X-ray) – If pain persists, imaging can rule out complications like scar tissue buildup, muscle damage, or nerve entrapment.
Consult with your original surgeon or trusted physician.