As a plastic surgeon who performs breast augmentation frequently, I understand that persistent postoperative pain after breast augmentation can be concerning. While it is normal to experience some discomfort during the initial stages of recovery, ongoing pain after 6 months post-surgery is not typical. Moreover, a change in the pain experience could indicate other changes. There could be several causes for this prolonged pain:

  •    Capsular Contracture: One possible cause is the development of capsular contracture, where the scar tissue around the breast implant becomes tight and constricts the implant. This can lead to pain and visible deformity over time.
  •    Nerve Damage: Nerve injury during surgery can result in long-lasting pain. Sensory nerves in the breast tissue may be affected, leading to ongoing discomfort. Sometimes, the scar tissue formed during recovery affects the nerves.
  •    Implant Malposition: If the breast implants are not properly positioned or have shifted over time, it can cause pain and discomfort. This can be evaluated through a physical examination and imaging studies.
  •    Infection: Although rare, late-onset infections can occur several months after breast augmentation surgery, causing pain, swelling, and other signs of infection. This seems less likely in your case.
  • BIA illness: Breast Implant Associated illness is a poorly understood condition associated with persistent postoperative pain, fatigue, musculoskeletal complaints, psychiatric manifestations and immune dysfunction. It is proposed to be caused by the presence of silicone implants, but this has not been clearly established.

Ultimately, a consultation with a board-certified plastic surgeon for a thorough evaluation is needed. At Blue Ocean Plastic Surgery, our team would take a medical history, perform a physical examination, and order any additional tests or imaging necessary to identify the underlying cause of the pain. Treatment options will depend on the specific cause and may include medication, physical therapy, or revision surgery. If this is your concern or you have other questions, a thorough evaluation by our team is the first step…call us at 239-688-2677 to schedule a consultation today.

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