I Had a Breast Augmentation 7 Weeks Ago and Now I Have Harden and Lumps Under the Incision, Normal?

Suture lines after Breast Augmentation can have small firm areas caused by deep sutures which will eventually dissolve.

However hard lumps beneath the incision on the chest wall may be small blood clots in the veins, a condition called Mondor's Disease.

It is a benign condition usually self limited and will go away. Typically it responds to warm soaks and Aspirin.

However you should definitely see your doctor for an exam.

Unfortunately, you will need to return to your surgeon for a physical examination to determine how to address this concern. It is difficult to say what is causing this. Best of luck.

Hello! Thank you for the question!  The typical incision used for breast augmentation are: inframammary (in the fold beneath your breast), periareolar (at the border of the areola), axillary (within the armpit crease), and TUBA (through the umbilicus). Incision placement will do a lot with your preference, surgeon comfort level with that approach, and the type of implant - silicone implants will be difficult to place within certain access incisions. Breast augmentation scars are well concealed and are very discrete. They should not be visible within clothing, and likely hidden without clothing. If your concern is the visibility without garments, you should consider remote access incisions such as in the armpit. However, these other incisions heal very well on the breast and often times inconspicuous. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.  At 7 weeks - it is still very early in the healing process and I would be patient - some of the things above may help, but discuss with your surgeon.If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Consult with a plastic surgeon your goals, concerns, and expectations. Certainly incisions should be considered, but should not limit your overall result by hindering visualization and access to your surgeon, and what produces the best results in his/her hands.Hope that this helps! Best wishes!