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Would Breast Augumentation the Second Time Around Be More Painful?

Your question depends on a number of factors. If you are planning on being of similar size, through the same incision and in the same tissue plane (ie below the muscle) and have a relatively small amount of scar tissue then the pain will likely be less than you originally experienced. If any of the above is changing then you may or may not have pain. In my practice, we have an effective regimen for managing post-op breast augmentation pain that can include pain medication, muscle relaxers, appropriate post-op garments and pain pumps that greatly reduce post-op discomfort. Talk to your surgeon about your concerns and find an effective way to minimize your post-op pain!

Clinical Context

Post-surgical pain relates mainly to how much the implant pocket is stretched or altered. Revision surgery that reuses the same pocket size and plane typically causes less swelling and discomfort than the original surgery. Changing implant size, moving to a different plane, or removing significant scar tissue (capsule) increases tissue trauma and can raise pain levels. Discuss your specific history and goals with your surgeon to anticipate what your recovery may look like.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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