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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyBCTeam Member asked a question 💭
Alpharetta, GA

I have a tissue expander placed in my left side about 5 months ago after a unilateral mastectomy.I have had my last fill and waiting for surgery. It is still very uncomfortable and hurts when I've been active walking or gardening.

March 6
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A MyBCTeam Member

I've had multiple expanders and they are by far the most uncomfortable implant, saline implants are not too bad, and silicone gel are the most comfortable. You will notice a major positive difference after the expander is gone. The expanders, as you know, feel very stiff. Every time they add more saline your skin is stretching and if you have the expander installed under the muscle (most women do) then your muscle is being stretched too. I have had all my implants placed over the muscle for this reason. Most plastic surgeons argue against it, but it makes a huge difference comfort wise. Good luck with your exchange surgery, hopefully it's coming up very soon ❤️

March 7
A MyBCTeam Member

BB2 hi, sorry you are having this pain issue and you should talk with your doctor about this pain that you are having. I hope that you feel better soon.

March 7
MyBCTeam

Why are breast tissue expanders so uncomfortable and sometimes painful?

Tissue expanders are designed to stretch your skin and chest muscle to create space for future reconstruction, which naturally causes discomfort. The tightness and pain you're experiencing, especially after activity like walking or gardening, is common Show Full Answer

Why are breast tissue expanders so uncomfortable and sometimes painful?

Tissue expanders are designed to stretch your skin and chest muscle to create space for future reconstruction, which naturally causes discomfort. The tightness and pain you're experiencing, especially after activity like walking or gardening, is common because the expander is putting pressure on your chest wall and surrounding tissues.

The discomfort can be more noticeable when you're active because movement engages your chest muscles, which may be stretched around or over the expander. This creates tension and can lead to pain in your chest muscles, chest wall, or even upper back.

A MyBCTeam member shared a similar experience, noting that their expanders "only bug me when I lay on my stomach to read for too long. They are just uncomfortable."

Since you've had your last fill and are waiting for exchange surgery, the expander is at its maximum size, which can make the tightness more pronounced. The good news is that many people report feeling immediate relief after exchange surgery when the expander is replaced with a softer implant. If the discomfort is significantly affecting your quality of life, talk to your doctor about pain management options. They might suggest:

- Over-the-counter pain medication
- Cold compresses
- Adjusting activity levels temporarily

Also contact your doctor immediately if you experience severe pain, fever, chills, or any signs of infection, as these require prompt medical attention.

Hang in there—the exchange surgery should bring much-needed relief!

March 6

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