Post-Surgery Nipple Pain After Fibroadenoma Removal: Is It Normal?

Nipple pain after surgery for breast fibroadenoma?

Hello, I would like to inquire about my recovery after undergoing a lumpectomy for a breast fibroadenoma two weeks ago, where approximately 3 cm tumors were removed from both sides.
Currently, my wound is healing, and my doctor has recommended using adhesive strips.
I can start applying scar ointment in a week.
However, I've been experiencing pain when my nipple is touched, along with some redness, swelling, and discharge that has a crusty appearance.
Is this normal?

Yaya, 30~39 year old female. Ask Date: 2023/05/04

Dr. Chen Bingze reply Surgery

Removing a fibrocystic lesion can cause some degree of ductal injury.
It is advisable to monitor the situation for a few weeks to see if this condition persists.

Reply Date: 2023/05/04

More Info

Post-surgery nipple pain after fibroadenoma removal can be a concerning issue for many patients. It is important to understand that some degree of pain and discomfort is common following any surgical procedure, including the removal of fibroadenomas. The pain you are experiencing, especially around the nipple area, can be attributed to several factors related to the surgical process and the healing of the tissues.

Firstly, during surgery, the incision made to remove the fibroadenoma can affect the surrounding tissues, including nerves and blood vessels. This can lead to sensations of pain, tenderness, or discomfort in the area, particularly when the nipple is touched or stimulated. The healing process can also cause inflammation, which may contribute to the redness and swelling you are noticing. It is not unusual for patients to experience some level of sensitivity or pain in the nipple area for a few weeks post-surgery.

The presence of crusting or discharge can also be a normal part of the healing process, especially if the incision site is still recovering. However, it is crucial to monitor these symptoms closely. If the discharge is foul-smelling, or if you notice increasing redness, swelling, or warmth around the incision site, these could be signs of infection, and you should seek medical attention promptly.

Regarding the use of adhesive strips (like Steri-Strips) and scar ointments, these are commonly recommended to support the healing of the incision and minimize scarring. It is essential to follow your doctor's advice regarding when to start applying these treatments. Generally, once the incision has closed sufficiently and there are no signs of infection, you can begin using scar ointments to help improve the appearance of the scar.

If the pain persists or worsens, or if you have any concerns about the healing process, it is advisable to consult your surgeon or healthcare provider. They may want to examine the incision site to ensure that everything is healing as expected and to rule out any complications.
In summary, while some pain and discomfort after fibroadenoma removal can be normal, it is essential to keep an eye on your symptoms. If you experience significant pain, changes in discharge, or any signs of infection, do not hesitate to reach out to your healthcare provider for further evaluation. Your health and peace of mind are paramount, and addressing any concerns early can help ensure a smooth recovery.

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