Breast implants after mastectomy - issues have started to appear. I'm very worried

hi I had breast implants after a mastectomy in 2024. Recently one of them has become really hard and quite sore, it’s also swollen. I am becoming very worried and have booked a doctors appointment. I had the mastectomy and reconstruction as risk reducing surgery due to BRCA1 gene.

  • Hello and thanks for your enquiry,

    I can appreciate your concern about your current symptoms. But overall, these are likely to be related to breast implant issues, rather than a breast cancer. It is of course sensible to get this assessed by a doctor.

    Your GP will examine the breast and armpit, and may refer you back to your hospital breast unit. They or the GP can arrange for an ultrasound scan (and occasionally an MRI) to check for fluid around the implant or breast implant (capsule thickening). This is when your body naturally forms a thin layer of scar tissue around any implant, which can sometimes thicken and shrink, squeezing the implant so it feels hard, tight, and painful. Fluid can suddenly build up around an implant months or years after surgery, making the breast feel noticeably swollen, tense, and sore. Also, damage or wear to a silicone or saline implant can trigger local inflammation, swelling, and changes in firmness. If it is an issue related to an implant, then the breast surgeon can advise on the best course of action for you.

    I hope that this helps reassure you, and that you are able to get this sorted out soon,

    Best wishes,

    Vanda

  • Thankyou for your reply Vanda. I went to the doctors today they are referring me under the 2 week wait. Ideally I would like to be referred back to my surgeon but they have to refer me to breast care in my local area. It’s really quite sore now and I’m struggling to lift my daughter up without feeling pain. Could it continue to swell up? I have recently started lying on my front more and using weights to work out so I’m not sure if this is anything to do with it. Doctors said he couldn’t feel any lumps on my breast or on my lymph nodes so I’m hoping that’s a good sign.