Abnormal breast pain and treatment for sensitive breasts after breast augmentation

I have discussed in previous posts the causes of hypersensitivity after breast augmentation as well as discomfort after breast enlargement surgery with either saline or silicone implants. See here:

Abnormal pain after breast augmentation

The most common reason for dysesthesia ( painful sensations) is a natural fear of touching an operated area lest you cause pain. This is compounded by the fact that not touching the skin causes the nerves to “forget” what they are supposed to do and instead just relay noxious stimuli. This leads to less touching of the skin and puts you on a terrible vicious cycle of pain/not touching/more discomfort/etc. If you remember anything from this post, it should be to touch your breasts as much as you can for the first few weeks after surgery! Treatment of Abnormal Breast Pain After Breast Augmentation is necessary!

In effect, there are only three methods available for treatment of hypersensitivity after breast augmentation:

  • Waiting for the discomfort to go away
  • Medication
  • Desensitization

1. Expectant therapy

As callous as it sounds, some patients truly cannot bear to touch their breasts or have anything else, such as clothes, touching them. In rare cases, doing nothing is all one can do! However, if you can, you should try the other treatment methods. Also, these conditions are for the most part self-limited and will get better on their own in time!

2. Medications

  • Narcotics

One thing that is for certain is that narcotic medication usually does not help with the specific nerve pain that causes increased sensation. Narcotics will help pain in the initial week after surgery, if even that long.

  • Muscle relaxants

Drugs such as Valium (diazepam) can relax muscles and significantly help reduce pain of muscular origin, but as with narcotics won’t do much for your nerve discomfort. They will, however, act to decrease the anxiety associated with the strange feelings, and that can help.

  • Local anesthetics

Lidocaine creams and patches (Lidoderm patches) can help reduce symptoms in the short term. They will effectively numb the area but can be used only for a short period of time. Sometimes, however, a short period of time  is all that is needed to break the pain cycle!

  • Neurontin

This medication is used to treat a plethora of nerve-related conditions, such as chronic nerve conditions and epilepsy. Its method of action is unknown, so I would see a neurologist or pain specialist before you have this medication prescribed, as there are many strange side effects.

3. Desensitization training

My preferred method. See  the next post, but start touching your breasts already!

Morad Tavallali, M.D., FACS