American Society of Plastic Surgeons
For Medical Professionals
 
HBgirl
one year ago
Answered

Pain in left breast

I've had 3 augmentations all due to ruptures. The last one in 2014 and recently I've had severe tearing, ripping pain. This occurs when I'm sleeping and reposition or get up and the pain is so intense it drops me to my knees. My left breast is very lumpy and mammo and ultrasounds have ruled out cancer and think it's scar tissue. Could this pain be from scar tissue and is it correctable? Thx!

Procedure: Breast Augmentation
Type: Question

Replies 4

Barry Citron
ASPS Surgeon
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An answer that would be accurate and useful to you can only be given after speaking to you in person, reviewing your medical records and examining you. That is why I recommend, and I predict my colleagues on line will agree, that you need to consult with a board certified plastic surgeon. Not through the internet mind you but rather face to face in an office setting. Best wishes

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Nelson Castillo

Thank you for sharing your question and I am sorry to hear of your issues. Due to the complexity of your history I would strongly recommend speaking at length with a series off surgeons after in-person examinations of your breasts.

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Susan Buenaventura
ASPS Surgeon
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This degree of pain is unusual after augmentation. Please consult with your surgeon in person to discuss. It may make sense to consider implant removal at some point. If you cannot see your surgeon from 2014, find a good ASPS surgeon in your area and have an in person consultation. Best wishes.

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Aaron Stone
ASPS Surgeon

This could be anything from rupture number 4 to severe capsular contracture to fibrocystic disease. The treatment depends on the diagnosis. Capsular contracture or rupture will require another capsulectomy+implant exchange with possible plane change and/or acellular dermal matrix. Treatments that have been found helpful for fibrocystic disease include keeping the amount of fat in the diet to less than 25% of total calories, reduction in the consumption of salt, avoidance of caffeine (in, for example, coffee, tea, soft drinks, and chocolate), birth control pills and/or tamoxifen. Surgery is a last resort for fibrocystic disease because of the scarring stimulated by removal of all of the cysts. An accurate diagnosis is important before any treatment is started.

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