Why would my breast implant hurt years after reconstruction due to breast cancer?

Contraction or Ruptu: Contraction of the capsule or rupture of the implant can cause pain long after the implant was placed. There are some other importatnt causes to rule out as well. Your plastic surgeon or breast cancer surgeon should be able to help you sort through the possible causes.

Pain: Capsular contraction is the most common cause of pain. Capsule formation is normal however, if advanced (baker iv) can be painful. This can be treated with revisional surgery to excise this capsule and try to improve the aesthetic appearance. Because of your cancer history a thorough exam an the appropriate diagnostic studies by your plastic surgeon is definitely warranted.

Breast Cancer: First you should be seen and examined. The most like cause is scarring or capsular contracture of you breast implant. You should follow up with your plastic surgeon who performed the procedure if possible. If this is not possible have and evaluation by a board certified plastic surgeon familiar with breast reconstruction.

Scarring, Cancer: As dr. Whitfield & others described, scarring around the implant may cause this pain. However, local recurrence of the tumor is another possible cause. I advise you to see your cancer surgeon, as well. Local recurrence is often evident by exam alone. However, an ultrasound or MRI can help supplement the physical exam, as needed.

Did u get radiation?: After breast reconstruction with implants the healing process may allow tightening of the skin and muscles which can cause something called contracture. If you received radiation therapy after your surgery then the possibility of contracture is increased and the effects take many months to b realized. It is possible for continued tightening of the tissues to occur for years. Surgeon should see u.