Having breast surgery is often a major milestone in treatment for breast cancer, and it’s common to have itching afterward. Whether you’ve had breast-conserving surgery (such as a lumpectomy), a mastectomy (surgery to remove the entire breast), or breast reconstruction, some itching is a normal part of healing.

One MyBCTeam member shared, “I had reconstruction surgery. My skin itches between my breast mounds, not close to my scars, though. It kinda reminds me of how skin itches after a sunburn.”

While some itching is usually expected, there are times when it could be a sign of something more serious. In this article, we’ll cover tips to help relieve itching and explain when it’s important to call your healthcare provider.

Why Itching Happens After Breast Surgery

Healing after breast surgery — whether it’s a lumpectomy, mastectomy, or reconstruction — is a complex process that involves tissue repair and regeneration. Several factors may contribute to itching during recovery.

Nerve Damage and Regeneration

Itching after surgery may be caused by nerve damage. Surgery can disrupt nerve endings in the chest, which may affect how those nerves respond. As your body heals, nerves may reconnect or regenerate, and this process can cause itching, tingling, or even pain in the affected area.

Nerve-related itching can last for a while, but it often gets better over time as nerve pathways heal.

”My skin itches between my breast mounds. It kinda reminds me of how skin itches after a sunburn.”
— A MyBCTeam member

Scar Tissue

Scar tissue can also cause itchiness. When the body repairs a surgical incision, it produces collagen fibers to form a scar. As the scar matures and tightens, itching may occur in and around the area.

Histamine Release

Itching is sometimes triggered by chemicals called histamines, which are released by the immune system after surgery. These chemicals can interact with nerve endings in the skin, causing an itchy feeling. Although this can be uncomfortable, histamine-related itching is a normal part of healing.

“I had itching on and off, and still get it. I’m almost four years post my bilateral surgery.”
— A MyBCTeam member

Other Potential Causes of Itching

In addition to healing-related changes, several other factors may lead to itching after breast cancer surgery:

• Allergic reactions — Some people develop contact dermatitis, an itchy rash that can occur if the skin reacts to bandages, surgical tape, or other medical supplies used during or after surgery.
• Dry skin and skin irritation — The skin around the surgical area may become dry or sensitive, especially during treatment. Friction from clothing, bras, or dressings can also irritate the skin and trigger itching.
• Medication side effects — Certain pain medications prescribed after breast surgery may cause itching as a side effect.

If you think your itching might be caused by an allergic reaction or a medication side effect, talk with your healthcare provider. They can help identify the cause and offer safe treatment options. If you notice itching along with skin discoloration, a rash, or swelling near bandages or adhesives, remove them gently and contact your doctor right away.

How Long Does Itching Last After Breast Surgery?

Itching after breast surgery is typically temporary, but recovery time can vary from person to person.

Several factors may affect how long itching lasts, including:

• The type and extent of surgery
• How your body heals
• How sensitive you are to itchiness

Many MyBCTeam members say that itching is most noticeable in the first few weeks after surgery and slowly gets better over time. However, some people experience itching for months or years after surgery as the nerves continue to regenerate.

Everyone’s healing journey is different, and changes in sensation — including itching — are a normal part of recovery.

5 Ways To Reduce Itching After Breast Surgery

Itching after breast surgery can often be managed at home using some simple strategies. Always talk with your healthcare provider before trying any new treatments.

1. Moisturize

Keeping your skin hydrated may help reduce itching. Apply a fragrance-free moisturizer to the area around the incision (but not directly on it unless your doctor says it’s safe). Choose emollients made for sensitive skin, and avoid products with perfumes, dyes, or harsh chemicals that could irritate healing skin.

2. Use Cold Packs

Cool compresses or ice packs can numb the skin and help relieve itching. Always place a thin cloth or towel between the cold pack and your skin to prevent damage.

One MyBCTeam member shared, “I am three years post-double mastectomy from HER2-positive stage 2 breast cancer. I still have itching, tingling, pinching, and sharp pains. When I can’t find the cause of the itch, I use heat or ice. I guess it’s my new normal. I’m grateful to be alive.”

“When I can’t find the cause of the itch, I use heat or ice.”
— A MyBCTeam member

Another member agreed, adding, “Ice is a godsend for itching. I sleep with an ice pack on my implant until they figure out why it’s still itching this far out.”

3. Wear Loose-Fitting Clothing

Soft, loose-fitting clothing can help reduce friction and keep fabric from rubbing against your surgical site. Avoid rough materials or tight clothing that could make itching worse. Using a fragrance-free, gentle laundry detergent may also help prevent skin irritation.

4. Don’t Scratch

Although scratching may offer temporary relief, it can worsen itching and increase your risk of infection near incisions. Instead, gently patting or massaging the itchy area may provide relief without causing harm at the incision site.

5. Try Antihistamines

Over-the-counter antihistamines can reduce itching after surgery, especially if histamines are causing the sensation. Be sure to check with your doctor first.

One MyBCTeam member noted that they experienced itching for years after surgery: “I had itching on and off, and still get it. I’m almost four years post my bilateral surgery. I tried diphenhydramine HCl (Benadryl) to help with the itching, and it did.”

Even if your itching improves with home remedies, it’s still a good idea to let your healthcare team know. They can help rule out underlying issues and recommend the best next steps for your recovery.

When To Call Your Doctor About Itching

Itching after breast surgery is often normal and manageable, but sometimes it’s a sign that something else is going on. Don’t hesitate to contact your healthcare provider if you notice any of the following.

Persistent or Worsening Symptoms

If home remedies don’t help or if the itching gets worse over time, you should talk to your doctor — especially if itching continues beyond four to six weeks after surgery. Itching years after your procedure can sometimes indicate ongoing nerve regeneration, but significant changes in symptoms might require medical examination.

Signs of Infection

Contact your healthcare provider immediately if you notice any signs of infection, including:

• Fever or chills
• Painful swelling around the surgical site
• Inflammation, thickening, or hardening of the skin around the surgical wound
• Warmth
• Unusual discharge or pus
• Skin discoloration

Severe Impact on Your Quality of Life

If itching is interfering with your sleep, comfort, or overall quality of life, talk to your doctor. They can assess your specific case, rule out any complications, and recommend appropriate interventions such as topical medications or anti-itch creams, antihistamines, or alternative treatments.

Remember, itching after surgery shouldn’t be ignored if it’s severe, persistent, or accompanied by other concerning symptoms. Your medical team is there to help ensure you understand your condition and prognosis (outlook) and that your recovery process goes as smoothly as possible.

Join The Conversation

On MyBCTeam, people share their experiences with breast cancer, get advice, and find support from others who understand.

Do you have any tips to manage severe itching or other symptoms during the surgical healing process? Let others know in the comments below.