Sharp pain, left breast near my sternum area when using the compressive band. Why?

I am 5'1'' and I weigh 120 pounds. Today is my 7th day post op 450cc under muscle. They look huge for my body type and they're sitting very high. I wanted and signed a paper saying I wanted 350cc, but the day of my first checkup they gave me the warranty cards and they say 450cc. Also, when I use the compressive band I feel a lot of pain on my left breast and a burning sensation on my left breast, near the sternum area. Any arm movement makes that area sore.
Do I have to use the band?

Answers from doctors (13)


Y Plastic & Reconstructive Surgery

Published on Jul 29, 2019

Hi, thank you for your question and congratulations on your surgery! I recommend consulting with your board-certified plastic surgeon. It is very normal to be super high 7 days out from surgery.

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Answered by Y Plastic & Reconstructive Surgery

Hi, thank you for your question and congratulations on your surgery! I recommend consulting with your board-certified plastic surgeon. It is very normal to be super high 7 days out from surgery.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 16, 2016

7 days post-op, it is customary to have pain and discomfort that might last 1 month or so. From what you describe, the pain appears to be muscular. The band will help the breasts drop. As far as the 450cc's vs the 350cc's, this is something that you should discuss with your surgeon. Good luck.

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Answered by ELLIOT B. DUBOYS, MD, FACS

7 days post-op, it is customary to have pain and discomfort that might last 1 month or so. From what you describe, the pain appears to be muscular. The band will help the breasts drop. As far as the 450cc's vs the 350cc's, this is something that you should discuss with your surgeon. Good luck.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 07, 2016

After 1 wk you don't need the band, just wear a supportive bra. The implants are too big, but if you signed off on 450cc's, you are stuck. If you signed off in advance (which should be done) on 350cc's, ask your surgeon to change his/her expense.

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Answered by Barry J. Kaplan, D.O.

After 1 wk you don't need the band, just wear a supportive bra. The implants are too big, but if you signed off on 450cc's, you are stuck. If you signed off in advance (which should be done) on 350cc's, ask your surgeon to change his/her expense.

Published on Jul 11, 2012


Boris M. Ackerman, M.D.

Published on Apr 20, 2016

Some discomfort is expected after a breast augmentation. The more important issue is appropriate follow up after surgery. In my practice, we see our patients rather frequently for the first 10-14 days to make sure that there is proper healing and to be available to answer numerous questions that the patients have at this time of their healing process. It amazes me how often patients turn to the web for advice in early stages of their healing. The best advise should come from the operating surgeon as he is intimately involved in this process. Call your surgeon today to get some answers.

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Answered by Boris M. Ackerman, M.D.

Some discomfort is expected after a breast augmentation. The more important issue is appropriate follow up after surgery. In my practice, we see our patients rather frequently for the first 10-14 days to make sure that there is proper healing and to be available to answer numerous questions that the patients have at this time of their healing process. It amazes me how often patients turn to the web for advice in early stages of their healing. The best advise should come from the operating surgeon as he is intimately involved in this process. Call your surgeon today to get some answers.

Published on Jul 11, 2012


Robert J. Brueck MD, FACS

Published on Apr 14, 2016

The purpose of the band is to have the implants come down. You may want to put a washcloth over your breasts and then the band. It may be more comfortable.

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Answered by Robert J. Brueck MD, FACS

The purpose of the band is to have the implants come down. You may want to put a washcloth over your breasts and then the band. It may be more comfortable.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Mar 11, 2016

I'm sorry to hear about the concerns you are experiencing after breast augmentation surgery. You should be aware that it is not unusual for patients to feel that they are “too small” or “too big” early on after breast augmentation surgery. Most patients who feel this way ultimately are pleased with the results of surgery. Many patients who feel that they are too small immediately after surgery find, as the breast implants “drop and fluff”, that the breasts actually appear larger to them. As the breast implants settle, the nipple/areola complexes seem higher on the breast mounds.

If, at all possible, it will be best for you to wait a period of at least 3 to 6 months before making any final decisions about the procedure that has been performed. This waiting time usually allows patients to physically and psychologically adapt to the new body image.

From the physiological standpoint, it takes many months (and even up to one year) to see the final results of surgery. Factors such as swelling, tissue contraction, skin redraping, implant shifting etc. come into play.

From the psychological standpoint, patients undergo an “adaptation period," during which time they get used to the changes that the surgical procedure has brought about. Severe emotional swings can also occur after any type of surgical procedure.

Obviously, it is best for patients not to make important decisions--for example, about the results of surgery and/or the need for additional surgery--while they are experiencing these emotional “ups and downs.”
I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

I'm sorry to hear about the concerns you are experiencing after breast augmentation surgery. You should be aware that it is not unusual for patients to feel that they are “too small” or “too big” early on after breast augmentation surgery. Most patients who feel this way ultimately are pleased with the results of surgery. Many patients who feel that they are too small immediately after surgery find, as the breast implants “drop and fluff”, that the breasts actually appear larger to them. As the breast implants settle, the nipple/areola complexes seem higher on the breast mounds.

If, at all possible, it will be best for you to wait a period of at least 3 to 6 months before making any final decisions about the procedure that has been performed. This waiting time usually allows patients to physically and psychologically adapt to the new body image.

From the physiological standpoint, it takes many months (and even up to one year) to see the final results of surgery. Factors such as swelling, tissue contraction, skin redraping, implant shifting etc. come into play.

From the psychological standpoint, patients undergo an “adaptation period," during which time they get used to the changes that the surgical procedure has brought about. Severe emotional swings can also occur after any type of surgical procedure.

Obviously, it is best for patients not to make important decisions--for example, about the results of surgery and/or the need for additional surgery--while they are experiencing these emotional “ups and downs.”
I hope this helps.

Published on Jul 11, 2012


Steely Plastic Surgery

Published on Sep 17, 2015

Band usage is generally used above the implant to aid in allowing a high riding implant to settle into the pocket. I use them selectively depending upon the particular patients anatomy. I would ask your Plastic Surgeon if the band is necessary in your particular case.

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Answered by Steely Plastic Surgery

Band usage is generally used above the implant to aid in allowing a high riding implant to settle into the pocket. I use them selectively depending upon the particular patients anatomy. I would ask your Plastic Surgeon if the band is necessary in your particular case.

Published on Jul 11, 2012


Lane F. Smith, M.D.

Published on Sep 17, 2015

Thank you for your question. The implants will most likely drop. The best advice is to discuss your concerns with your surgeon.

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Answered by Lane F. Smith, M.D.

Thank you for your question. The implants will most likely drop. The best advice is to discuss your concerns with your surgeon.

Published on Jul 11, 2012


Charles A. Messa, III, M.D., F.A.C.S.

Published on Sep 17, 2015

I'm sorry to hear that you are so uncomfortable. The decision to use the compression band is up to your plastic surgeon. It is typically used to push the breast implant down if they are sitting high on the chest or if you had a tight inframammary crease. If you are uncomfortable with the band on, I would recommend not wearing it. However, you should talk to your surgeon first. As far as the size, you are very early post-op, so the breast size will do down as the swelling resolves. Good luck with the rest of your recovery.

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Answered by Charles A. Messa, III, M.D., F.A.C.S.

I'm sorry to hear that you are so uncomfortable. The decision to use the compression band is up to your plastic surgeon. It is typically used to push the breast implant down if they are sitting high on the chest or if you had a tight inframammary crease. If you are uncomfortable with the band on, I would recommend not wearing it. However, you should talk to your surgeon first. As far as the size, you are very early post-op, so the breast size will do down as the swelling resolves. Good luck with the rest of your recovery.

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on Sep 16, 2015

Typically, breast implant pockets should be accurately dissected to accommodate a size appropriate breast implant. With proper pocket dissection and implant choice, the breast implant will drop into place after the pectoralis muscle relaxes. This can take upwards of 3 weeks or longer. Implant exercises can help break muscle spasm, but compression typically has no effect other than discomfort.

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Answered by Andrew Trussler MD, FACS

Typically, breast implant pockets should be accurately dissected to accommodate a size appropriate breast implant. With proper pocket dissection and implant choice, the breast implant will drop into place after the pectoralis muscle relaxes. This can take upwards of 3 weeks or longer. Implant exercises can help break muscle spasm, but compression typically has no effect other than discomfort.

Published on Jul 11, 2012


Always follow the advice of your own surgeon. If he or she tells you to wear it then you should.
As hard as it is to ignore the size, no one today can know if you will be happy after they settle. Just put it out of your mind, let the swelling go away, and give yourself six months to see if you like them. If you obsess about them you will unnecessarily drive yourself - and your surgeon- nuts.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Always follow the advice of your own surgeon. If he or she tells you to wear it then you should.
As hard as it is to ignore the size, no one today can know if you will be happy after they settle. Just put it out of your mind, let the swelling go away, and give yourself six months to see if you like them. If you obsess about them you will unnecessarily drive yourself - and your surgeon- nuts.

Published on Jul 11, 2012


Ronald V. DeMars M.D.

Published on Sep 16, 2015

Sorry you are having these problems. Healing after a breast augmentation takes several weeks so it's important to be patient and also important to be in contact with your surgeon's office if you are having problems. The burning sensation you mention usually comes from a nerve that can be stretched or bruised during the surgical process. Compression from the upper breast by the band can push the implant down against the nerve. Usually some cold packs and ibuprofen and a little time will take care of the issue. Implants almost always look a little too high after surgery and settle down over a few weeks. If you are concerned that you got the wrong implants, be open about this with your surgeon, but in all likelihood he used whatever implant gave you the best look in keeping with your goals.

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Answered by Ronald V. DeMars M.D.

Sorry you are having these problems. Healing after a breast augmentation takes several weeks so it's important to be patient and also important to be in contact with your surgeon's office if you are having problems. The burning sensation you mention usually comes from a nerve that can be stretched or bruised during the surgical process. Compression from the upper breast by the band can push the implant down against the nerve. Usually some cold packs and ibuprofen and a little time will take care of the issue. Implants almost always look a little too high after surgery and settle down over a few weeks. If you are concerned that you got the wrong implants, be open about this with your surgeon, but in all likelihood he used whatever implant gave you the best look in keeping with your goals.

Published on Jul 11, 2012


The Georgia Institute of Plastic Surgery

Published on Sep 16, 2015

First, All patients at first think their breast are too big, then too small, and then are -pretty happy with them if they were sized correctly to start with. I would stick with your Plastic Surgeon - go see him and talk with him/her. I ask patients not to look at their breast for 1 month. Ask your surgeon if the band is necessary. If he thinks it is helping - use it.

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Answered by The Georgia Institute of Plastic Surgery

First, All patients at first think their breast are too big, then too small, and then are -pretty happy with them if they were sized correctly to start with. I would stick with your Plastic Surgeon - go see him and talk with him/her. I ask patients not to look at their breast for 1 month. Ask your surgeon if the band is necessary. If he thinks it is helping - use it.

Published on Jul 11, 2012


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