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Does Breast Augmentation Cause Back Pain? What You Need to Know About Implants and Spinal Health

Reviewed by: Dr. Steven Knauf, D.C.

By: Janett King

Does-Breast-Augmentation-Cause-Back-Pain-What-You-Need-to-Know-About-Implants-and-Spinal-Health

Breast implants—whether you’re considering them or already rocking them—are often considered the ultimate confidence booster. When you’ve got implants, it feels like you’ve just stepped into a new version of yourself. Confidence is high, and everything looks and feels a little... fuller. But while they can do wonders for your appearance, they might also pull a few sneaky stunts on your spine.

We’ve all heard about the classic post-augmentation glow-up, but what about the not-so-glamorous side? Does breast augmentation cause back pain or posture issues? And how do implants affect your musculoskeletal system—your bones, muscles, joints, and everything that helps you move— over time?

These are fair questions, and we’re here to help clear up the myths and realities around breast implants, back pain, and overall body alignment. Let’s break it down so you can keep your back and confidence healthy.

A real-life story: from a ‘boob job’ to back pain

Meet Claire. Before getting her breast augmentation, she was self-conscious about the size of her breasts and their lack of fullness. After years of flirting with the idea, she opted for a breast augmentation with the hopes of boosting her confidence. When she came out of surgery, she felt like a new woman—her body felt balanced and fuller, and she was thrilled with her results. Fast forward six months, and Claire started noticing something unexpected: aching in her lower back and tightening her upper shoulders. At first, she thought it was from the hustle and bustle of life. Picking up her kiddos. Hours at a desk. Tough workouts with her trainer. But as time went on, the pain didn’t go away. Eventually, she reached out to her chiropractor for a consultation.

That’s when the real conversation began: could her implants be the culprit behind her nagging back pain? While implants can create a transformation, they also add weight to your chest, which might subtly affect your body’s natural alignment and place additional demands on your spine and posture. And no one wants to feel like they’re carrying even more weight on their shoulders—especially if it’s causing physical discomfort.

Before we dive into how breast implants might affect posture and musculoskeletal health, let’s take a step back and break down the basics of breast implants. Understanding the different types, sizes, and what each brings can help you decide if you’re considering augmentation.

Mini guide to breast implants: What you need to know

Choosing the right breast implant can feel like a big decision, and with so many types available, it can be hard to know where to start. Whether you’re looking for a natural feel, a more dramatic look, or something in between, understanding the different types of implants is key to making an informed choice. Each type has characteristics that affect everything from appearance to comfort and long-term satisfaction.

Types of breast implants

Breast implants come in various types and sizes, each with pros and cons. Here’s a quick guide to help you understand the options:

Saline implants: Saline implants are filled with sterile salt water. They are inserted empty and filled once in place, making them adjustable during surgery. If a saline implant ruptures, the saline solution is harmlessly absorbed by the body. These implants tend to have a firmer feel compared to other types.

Pros

  • Adjustable during surgery for size customization
  • If they rupture, the body absorbs the saline safely

Cons:

  • Firmer and less natural feeling compared to silicone
  • Prone to wrinkling or rippling under the skin, especially in thinner individuals

Silicone implants: Silicone implants are pre-filled with silicone gel, closely mimicking the feel of natural breast tissue. Many women prefer silicone implants for their softer, more natural appearance. However, regular monitoring (like MRI or ultrasound) is recommended to detect any potential ruptures since the body doesn’t absorb the gel.

Pros

  • Softer and more natural in appearance and feel
  • Less prone to rippling compared to saline

Cons

  • Ruptures (silent ruptures) may go unnoticed, so cosmetic surgeons typically recommend regular MRI or ultrasound monitoring.
  • Typically more expensive than saline implants

Gummy Bear implants: Gummy bear implants are newer silicone implants made with a cohesive gel that maintains its shape even if ruptured. They are often teardrop-shaped, offering a natural contour and a firmer texture. While they provide a more natural look and feel, their placement may require a slightly more invasive surgical process.

Pros

  • Retain shape, providing a teardrop or anatomical contour
  • Less likely to ripple or fold

Cons

  • Firmer than traditional silicone implants, which some may find less comfortable
  • Require a slightly more invasive surgical technique for placement

Round implants: Round implants are the most commonly chosen type of breast implant due to their versatility and symmetrical shape. Unlike teardrop-shaped implants, they provide uniform fullness to the entire breast, especially in the upper pole, which enhances cleavage and creates a fuller, more lifted appearance.

Pros

  • Provide more cleavage and upper breast fullness.
  • There is no concern about implant rotation (unlike teardrop-shaped implants)

Cons

  • May appear less natural, depending on the size and placement

Finding the perfect fit: Sizing breast implants

Choosing the right implant size is a deeply personal decision and one of the most critical steps in breast augmentation. Implant size is measured in cubic centimeters (cc), with smaller implants starting around 200 cc and larger ones exceeding 600 cc. The difference between sizes can be subtle, but even small changes in volume can noticeably impact your appearance and comfort.

Here are five key factors to consider when selecting the ideal size for your implants:

1. Body frame

Your body’s natural proportions will significantly influence your best implant size. For individuals with a petite frame or narrow chest, larger implants may feel disproportionate or cause strain on muscles and tissues. In contrast, a broader body frame can often comfortably accommodate larger implants. The width of the implant must align with the width of your chest to maintain a balanced and natural look. Large implants on a small frame can sometimes lead to complications, such as skin stretching or back discomfort, while too-small implants on a broader frame might not create the desired aesthetic.

2. Desired look

Consider whether you want a subtle, natural enhancement or a dramatic transformation. If your goal is a slight increase in volume and a natural look, opting for smaller implants with moderate projection is a good choice. On the other hand, if you desire more pronounced cleavage or fullness in the upper breast, larger implants with higher projection will help achieve that. It’s all about finding the right balance between what you envision for your body and what fits your frame, creating a look that complements your unique features.

3. Lifestyle

Your lifestyle plays a crucial role in determining the ideal size. If you’re an athlete or someone who leads a highly active life, larger implants might feel cumbersome or restrict your range of motion during exercise or physical activities. Smaller implants are more comfortable for individuals prioritizing mobility and comfort, particularly in running, weight lifting, or yoga. Your surgeon will also discuss implant placement—either under or over the muscle—since this can influence how implants feel and your body moves. Ultimately, choosing a size that aligns with your physical routine will ensure you stay active without feeling discomfort from your implants.

4. Breast tissue and skin elasticity

The amount of natural breast tissue you have and your skin's elasticity are other important factors to consider. If you have minimal natural breast tissue, larger implants may look more noticeable, and the skin may have difficulty stretching to accommodate the added volume. On the other hand, if you have more natural breast tissue or good skin elasticity, your body may more easily adjust to a larger implant size, providing a more natural-looking result. In some cases, smaller implants might offer a smoother, more proportional appearance, especially if you have less breast tissue to work with.

5. Future considerations

When choosing an implant size, it’s important to think long-term. Your body will likely change due to aging, weight fluctuations, pregnancy, or other life events. Larger implants may place more stress on your skin and muscles as these changes occur, potentially leading to sagging or discomfort. By selecting a size that suits your current body while considering future changes, you can avoid needing revision surgery later. It’s essential to choose a size you’ll be comfortable with throughout different stages of life.

The role of trial sizing

Many surgeons offer trial sizing with sizers or 3D imaging during consultations. These tools allow you to visualize how different implant sizes will look on your body, helping you make an informed decision.

The right implant size is unique to each person, blending aesthetic desires with practical considerations. Collaborating with your surgeon to evaluate your goals, body type, and lifestyle will ensure you achieve results that enhance your appearance and confidence.

Now that you've considered the different types of implants, their pros and cons, and how to select the right size, it’s time to shift focus to the next phase: what to expect after surgery. The recovery process is just as necessary as the procedure, especially regarding your posture and overall wellness.

Post-surgery recovery tips: Aligning your body for optimal wellness

After your breast augmentation surgery, your body will need time to heal and adjust to the changes. While the excitement of your new look is high, it’s equally important to prioritize recovery to ensure the best results and avoid any complications down the road. Taking proactive steps to support your body’s alignment and overall wellness during recovery can make a huge difference in how you feel as you heal. Here are some essential post-surgery recovery tips:

  • Work with a board-certified surgeon: Choosing a skilled plastic surgeon is crucial to ensuring your implants are placed correctly and your recovery is as smooth as possible. A highly experienced surgeon will consider your body’s proportions, ensuring your implants are balanced and that your body is positioned in a way that minimizes strain on your muscles, joints, and spine. Your surgeon should provide clear aftercare instructions, and close communication during your recovery can help you avoid complications like infection or improper healing.
  • Follow post-surgery guidelines for healing: After your surgery, your body will heal, and following your surgeon's post-operative instructions is essential. This may include wearing a supportive bra, avoiding certain activities (like lifting heavy objects), and limiting movement that could strain the area. Keeping your chest supported helps minimize the risk of implant displacement and ensures the tissue heals properly around the implants. Rest is also crucial during the initial stages of recovery, allowing your body to heal without stress or strain.
  • Be mindful of implant positioning: For the first few weeks after surgery, your implants may shift and settle into their final position. It's essential to avoid any activity disturbing the placement during this time, as the tissues around the implants need to adjust and accommodate. Proper posture during this time is essential to ensure the implants settle correctly. Ensure to avoid slumping or overcompensating for discomfort in the initial days after surgery.
  • Chiropractic care: Keeping your spine aligned: Chiropractic care can significantly support your body’s overall alignment post-surgery. While chiropractic adjustments are typically associated with pain relief, they may also be part of ensuring your spine and posture remain in balance during the healing process. After surgery, many women find that their body mechanics shift as they adapt to the new weight from their implants. Regular chiropractic visits may help align your spine correctly, reducing the risk of discomfort and promoting optimal posture as your body heals. A chiropractor may also address any muscle tension caused by the new implants, helping you regain balance and comfort more quickly. Don’t forget to disclose your recent surgery to your chiropractor before any adjustments.
  • Strengthen your core: A strong core provides vital support to your spine and muscles, which can make a significant difference during your recovery. While you’ll need to avoid heavy lifting for a few weeks post-surgery, incorporating light core-strengthening exercises (as approved by your surgeon) can help prevent back and neck strain. Strengthening the muscles that support your trunk will also help you maintain good posture as you transition to your new shape, reducing the potential for discomfort in the future. Always consult your doctor or chiropractor before starting any exercise regimen to ensure it's safe.
  • Take care of your scars: Caring for your incisions and minimizing scar tissue build-up is an important part of healing. Scar tissue can affect your body’s range of motion if not managed properly, so following your surgeon’s scar care instructions is essential. Gentle massage, moisturizing, and using silicone sheets or gels (as recommended by your doctor) can promote healing and prevent excessive scarring. Proper care can ensure that the skin remains supple and flexible, allowing you to move freely and comfortably.
  • Pace yourself and listen to your body: The healing process takes time, and everyone’s recovery experience is unique. It's important not to rush the process. While you may be eager to return to your routine, listening to your body and taking breaks as needed is essential. Overexerting yourself too soon could lead to complications or unnecessary discomfort. Remember, this phase is about allowing your body to adjust and heal so that you can enjoy the long-term benefits of your procedure.
  • Stay hydrated and nourished: Supporting your body with proper nutrition is key to a smooth recovery. Drink plenty of water to stay hydrated and focus on eating a balanced diet of vitamins and minerals to promote healing. Nutrients like protein, vitamin C, and zinc play a vital role in tissue repair and immune function. A healthy diet can also help you maintain your energy levels and avoid unnecessary stress on your body.

Now that you’ve got a clearer picture of breast implants in general let’s return to the question: How do breast implants affect your posture, spine, and overall musculoskeletal health?

Understanding the connection between implants and back pain

It turns out Claire’s experience isn’t all that uncommon. While breast augmentation surgery can be life-changing for many women, it’s crucial to understand how your body may react to the new weight, particularly regarding your spine and posture. The effects of breast implants on musculoskeletal health, specifically back pain, are often underestimated before the procedure.

According to a clinical assessment published in PubMed Central (PMC), breast augmentation can significantly change body mechanics. The added weight from the implants, particularly those that are larger, can disrupt your body's natural balance. Implants alter the center of gravity, shifting the weight distribution in your torso, which can affect the spine’s alignment and posture. In the short term, many women may not notice much discomfort. However, over time, the strain placed on the spine can intensify, especially if the implants are on the larger side.

When the weight of the implants isn’t properly balanced by the rest of the body, muscles—especially those in the back—are forced to work overtime to compensate for the extra load. This added strain can lead to discomfort in the lower back, neck, and shoulders, which, if left unchecked, may progress into chronic pain. As the muscles tire from overcompensating, you may notice your posture begins to shift. Over time, this can lead to more than just back pain; it can cause long-term issues with spinal health, including poor alignment, which can exacerbate discomfort and even limit your range of motion.

The PMC clinical assessment highlights that women with larger implants often experience more pronounced musculoskeletal effects. The imbalance caused by the implants can lead to postural adjustments that aren’t always in sync with the body’s natural alignment. For instance, some individuals may unconsciously lean backward or arch their spine to counterbalance the weight of the implants. This compensation mechanism can lead to tension in the muscles surrounding the spine and the shoulder girdle. Over time, these compensations can become habitual, making it difficult for your body to maintain its natural posture, even when standing or sitting.

The research further emphasizes the importance of selecting implant size carefully, as implants that are too large for a woman’s frame can accelerate these issues. Many women who experience ongoing back and neck pain after breast augmentation report that it’s directly linked to the weight and size of their implants. This imbalance can lead to discomfort in areas of the body that were previously unaffected. While implants can provide a beautiful cosmetic enhancement, they can also lead to unexpected physical challenges that require attention and management.

Tips for counteracting back pain after breast augmentation

While it’s clear that breast implants can sometimes lead to back discomfort due to the added weight, the good news is that there are ways to manage and alleviate pain. By taking proactive steps, women can maintain spinal health and enjoy the aesthetic benefits of breast augmentation without sacrificing comfort.

Tip 1. Visit your favorite chiropractor on the regular

One of the most effective ways to address postural imbalances and back pain after breast augmentation is through regular chiropractic care. Chiropractors are trained to identify misalignments in the spine and imbalances in the musculoskeletal system that may be contributing to discomfort. By performing spinal adjustments, chiropractors may help restore proper alignment, reduce muscle tension, and improve posture. This approach is often helpful for alleviating pain while also preventing it from becoming a long-term issue. Regular chiropractic visits may help maintain spinal health, reduce strain on the back and shoulders, and ensure that your body stays properly aligned despite the added weight from breast implants.

Tip 2. Strengthen your core muscles

Your core muscles (including your abdomen, lower back, and obliques) support your spine. When these muscles are weak, other muscles, especially those in the back, are forced to overcompensate, leading to pain and tension. Regular core-strengthening exercises, such as planks, Pilates, or yoga, can help stabilize your spine and reduce the strain caused by the additional weight from implants. A strong core helps improve posture, reduce pressure on your lower back, and alleviate discomfort.

Tip 3. Focus on good posture

Maintaining good posture is essential for preventing and relieving back pain. With breast implants, some women may unconsciously lean backward to balance the extra weight, which can strain the spine. Practicing mindfulness about posture throughout the day is key. Whether standing, sitting, or walking, focus on keeping your shoulders back, chest open, and spine aligned. Consider using posture-correcting devices or chatting with your chiropractor (see tip number one) for exercises that reinforce proper alignment.

Tip 4. Adjust your workout routine

Certain exercises may exacerbate back pain if you're active, especially those that put additional strain on the spine. It’s important to adjust your fitness routine to accommodate your implants. Low-impact activities such as swimming, walking, or cycling can help maintain cardiovascular health while avoiding unnecessary pressure on your back. Strength training can still be part of your routine, but be sure to use proper form and avoid exercises that involve heavy lifting with poor posture. Your fitness trainer or physical therapist can guide you on which exercises best suit your body post-augmentation.

Tip 5. Wear a supportive bra

Wearing a well-fitting, supportive bra is essential after breast augmentation to help distribute the weight of your implants more evenly across your chest and back. A supportive bra can alleviate strain on your shoulders and back muscles, reducing discomfort. Opt for bras with adjustable straps and wide bands that offer better support. If you’re experiencing chronic pain, you might even want to consider wearing a specialized post-surgery bra that offers added support during recovery.

Tip 6. Consider implant size and placement

If your back pain persists, it might be worth revisiting the size and placement of your implants with your surgeon. Some women may find that their implants are too large for their frame, and opting for a smaller size or different placement (under the muscle, for example) can help balance weight distribution and reduce strain on the back. While this may not be a quick fix, it’s worth considering if the pain significantly impacts your daily life.

Tip 7. Stay active with low-impact exercises

Staying active is essential for maintaining a healthy back. While high-impact exercises like running or jumping may aggravate back pain, low-impact activities like yoga, Pilates, and swimming can help you maintain flexibility, strength, and posture. These activities focus on strengthening key muscle groups that support the spine and can ease discomfort associated with implants.

Tip 8. Take breaks and move regularly

If you find yourself sitting or standing for long periods, taking regular breaks to stretch and move is essential. Extended periods of sitting or standing can exacerbate back pain, so try to incorporate short walks, stretches, or gentle movements every hour to keep muscles engaged and reduce stiffness. Simple stretches like shoulder rolls, neck stretches, and gentle backbends can help relieve tension and improve circulation.

Tip 9. Manage weight gain and posture changes

Lifestyle factors such as weight gain or pregnancy can exacerbate back strain over time, especially if you have larger implants. By maintaining a healthy weight and paying attention to any changes in posture that may occur as your body changes, you can reduce the risk of additional back pain. Incorporating healthy habits like a balanced diet and regular exercise into your routine can help keep your back pain-free.

What other plastic surgeries affect spinal health?

Breast augmentation isn't the only cosmetic surgery that can impact spine and body alignment. Several other procedures, especially those commonly performed as part of a "mommy makeover," can also affect posture, weight distribution, and overall spinal health.

Mommy makeover: What is it, and how does it impact spinal health?

A “mommy makeover” is a term used to describe a combination of cosmetic surgeries typically performed on women who have gone through pregnancy and childbirth. The goal is to restore or enhance a woman’s body by addressing areas that may have been affected by pregnancy, such as the breasts, abdomen, and sometimes the thighs or hips. Standard procedures included in a mommy makeover are:

  • Breast augmentation or lift: To restore volume or correct sagging due to pregnancy and breastfeeding.
  • Tummy tuck (abdominoplasty): To remove excess skin and fat around the abdomen, often tightening the underlying muscles.
  • Liposuction: To remove stubborn fat deposits in various body areas, such as the thighs, flanks, or abdomen.

While these procedures enhance the body’s appearance, they can also have unintended effects on spinal health, especially if they are not approached carefully considering the body’s overall alignment.

Tummy tuck: Shifting your center of gravity

The tummy tuck is one of the most significant procedures in a mommy makeover. Its goal is to remove excess skin and fat from the abdomen while tightening the abdominal muscles. However, when a substantial amount of tissue is removed or redistributed, it can shift the body's center of gravity. The weight redistribution in the abdominal region may cause changes in posture, requiring the body to adjust to the new shape.

Many patients experience tightness in the abdominal area after a tummy tuck as the skin and muscles heal. This can affect movement patterns, causing you to adjust your posture to compensate for the change unconsciously. The altered center of gravity can also place additional strain on the lower back and spine, which, if not appropriately addressed, may lead to discomfort or even chronic back pain.

The tightening of the abdominal muscles after a tummy tuck can also affect your core strength. If your core muscles are not sufficiently strengthened post-surgery, the imbalance in muscle support can contribute to poor posture and back pain. A holistic recovery plan, including physical therapy or chiropractic care, can help alleviate these risks by strengthening the core and supporting proper alignment.

Liposuction: Changing body shape and its effects on alignment

Liposuction is another common procedure in mommy makeovers, aimed at removing localized fat deposits from areas like the abdomen, thighs, or flanks. While liposuction can dramatically alter the shape of your body, it can also create shifts in your weight distribution. As fat is removed, the body’s natural curves are altered, which can cause changes in how you carry yourself.

These changes can sometimes lead to spinal misalignment if weight redistribution significantly alters the body's proportions. For example, removing fat from the abdomen or flanks may reduce the natural curvature of the lower back, while adding fullness to other areas (like the hips) can place new strain on the pelvis. Over time, these changes in body shape can contribute to discomfort and postural imbalances and even affect the spine's health.

Combined effects: The whole picture

When these procedures are combined in a mommy makeover, the changes to your body are even more pronounced. You might experience alterations in weight distribution, changes in how your body carries itself, and shifts in muscle tone and strength. For example, if you undergo both a tummy tuck and liposuction, the combined effect on your core and abdominal region may impact your overall posture and spinal health. Similarly, adding breast augmentation into the mix can change your upper body's alignment and influence how you stand and move.

These compounded effects make it especially important to discuss the potential physical side effects with your surgeon during the planning stages of your mommy makeover. You should also be prepared to take steps for post-surgical recovery, including working with physical therapists, chiropractors, or other professionals to ensure your body remains in proper alignment.

Why post-surgery care matters

Proper post-surgery care is crucial after any plastic surgery procedure, including those in a mommy makeover. You’ll need time to heal; during this period, your body may need extra support to adapt to its new shape. Chiropractic care may be particularly beneficial during this phase, as it helps maintain spinal alignment and balance, reducing the risk of developing long-term back or neck pain.

Moreover, regular physical activity and core strengthening exercises can help prevent postural problems from developing over time. As your body adjusts to its new shape, these activities will help ensure that the muscles and joints work harmoniously, promoting long-term wellness.

Keeping your body in balance after surgery

So, does breast augmentation cause back pain? It’s not a simple yes or no answer. Awareness of the potential side effects of adding weight to your chest is essential. Larger implants, especially if not properly balanced with your body, can strain your muscles and alter spinal alignment, causing back, neck, and shoulder pain. However, with the right approach, including careful implant selection, an experienced surgeon, and a focus on holistic recovery, you can mitigate these risks and support long-term wellness.

Whether undergoing a mommy makeover or simply enhancing your silhouette, remember that your spine is at the core of your overall health. Prioritizing alignment through post-surgical care like chiropractic treatment, strengthening your core, and ensuring your body remains balanced could help you embrace your transformation while maintaining comfort and vitality. These steps will likely help your body adjust to its new shape while empowering you to feel your best—inside and out.

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