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CosmeticSurg Blog

Dr. Rodriguez discusses Plastic Surgery, Medicine, and Stem Cell Research

Got Pain? How to Reduce Pain after Breast Augmentation

One of the biggest concerns patients have with any surgery is the amount of pain they will have to endure afterwards. This is especially true in cases of breast augmentation and other cosmetic surgery procedures since the patient is undergoing elective surgery and wants the best experience possible.

no painPain itself can have a negative impact following surgery. In fact, it’s the main cause for re-admission to a hospital after cosmetic surgery. When patients are in pain, they tend to breathe in short, shallow gasps which results in poor oxygen delivery tot he tissues that, in turn, affects healing. Besides, when the lungs don’t fully expand, patients are more prone to additional complications such as pneumonia.

To prevent this, patients need pain relief. The traditional way is pain pills. The first problem with pills is that the effect of the pill goes up and down, so patients experience waves of pain. Secondly, too much of a dosage can depress the breathing urge, which can be very damaging to healing tissues. Thus a patient can get caught into a dangerous pattern cycle: a wave of pain, followed by taking more than the prescribed amount to control the pain because the pain pill takes time to take effect, followed by the danger of not breathing well enough due to the dosage taken.

Pain pills also have the unfortunate effect of causing nausea. If the patient is having pain, then takes a pain pill she may get pain relief, but a lot of nausea which means she’s not able to drink as many fluids as she needs to replenish the loss of fluids during surgery. This dehydration can also be dangerous. And it only worsens if the patient actually vomits, because she gets even more dehydrated and can’t get pain relief because she can’t keep the pills down.


The solution? Pain pumps, not pain pills!

Dr. Rodriguez, Baltimore Plastic Surgeon

Pain Pumps. Not pain pills. Unlike pain pills that affect your brain and your gut, the pain pump just pumps minute amounts of numbing medication to the operated area. This means your mind remains clear. You have no nausea so you eat well and remain well hydrated.

patient with a pain pump

Pain Pump used after Breast Augmentation

My patients usually wear a pain pump, like this one in the picture, for 2 to 5 days follwing surgery. In some cases, you may still need to take a pain pill but since it won’t be meant to relieve intense pain, the dosage will be smaller – which means less chance for nausea, too.

Here at CosmeticSurg, when a patient comes in for drain removal after a breast augmentation, I can tell whether she’s wearing a pain pump from the minute she opens the door. To begin with, she actually grabs the door handle and gives it a push.

Post Op patients without a pain pump

On the other hand, patients without the pain pump invariably have their escort open the door. The ones without a pain pump are usually in their pajamas and you can hear their slippers shuffling. You can tell they haven’t changed their clothes from bed and who can blame them? Post-op patients with the pain pump are usually dressed to go out and walk down the hall. Big difference!

Over 95% of my breast augmentation patients opt for the pain pump! Furthermore, patients who have undergone a tummy tuck do even better. Without a pain pump, every single breath hurts because you use your abdominal muscles to breathe. In my Baltimore practice, the abdominoplasty patients who opt for the pain pump get up faster, move around more, and thus recover better. If you’re planning on having breast aug, or a tummy tuck, make sure you have the option to get a pain pump, too.


You might also want to read Improving the cosmetic surgery experience: Pain pumps to control pain and nausea and watch me explain how pain pumps can dramatically reduce post operative pain and shorten your recover time in my video post, Pain Pumps: Cosmetic Surgery with minimal pain.

Posted in Breast

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  • wrote
    July 13, 2014 at 2:54 pm

    Your case is complicated and anything I say over the internet without seeing you would probably be meaningless.
    I hope you come to the office so we can evaluate you. Contact Kelly at kelly@cosmeticsurg.net

  • wrote
    July 7, 2014 at 4:24 pm

    Dr. Rodriguez, First, let me tell you I am making an appointment to come and meet with you.

    I had breast augmentation saline implants, under muscle with a lift over 2 years ago. The left breast is noticeably larger than the right and the nipples are NOT aligned. (This was not the case prior to surgery). This was my second augmentation the first one being 12 years prior and was over the muscle (They had got very droopy). I have to say my surgeon did a lovely job of lifting my breasts however, I have a lot of pain in the left breast, I can feel the implant when I move and it is very uncomfortable. The other side is not painful, I can’t even feel the implant. It is not a capsular issue, it is not hard. They are both nice and soft. I also was not real happy with the size as I am a 36 D and didn’t want to be that big! I just wanted nice boobs. Now he is suggesting we remove them and I would be happier with the size, but then I will be back to the boobs that I hated!!

    I am not one to bad mouth another but I’m very dissatisfied with my results. I had also had a mini TT and let me tell you, it would appear I had nothing done, except I have a scar. My surgeon has done additional lipo without satisfactory results. Although I had suggested a full TT multiple times, it was not recommended and now I have paid a lot of money, plus I was off work etc and now he will do the full TT for a discounted price. As for my breasts he will remove the implants and even them up.

    I’m torn, as my stomach looks awful, my boobs are uneven and I’m not made of money!!

    Is it possible to fix one breast and use the same implant? I just don’t know that I am ready to remove them completely, especially if I would finally have a great looking abd.

    Anything you can tell me would be appreciated. Thank you so much!

  • wrote
    February 21, 2012 at 9:48 am

    It’s amazing how you explaining plastic surgery to the patients, it’ll be lot easier for them to understand how easy these things are and I think they will agree to be good looking is lot more easier than previous days. Thanks a lot.