Most women have minimal bruising with breast augmentation, but if you are concerned that you may have a problem it is best to be evaluated prior to surgery. Your family MD is a good place to start, but occasionally a specialist’s evaluation (hematologist) may be valuable. A “bleeding time” test could be considered. It is extremely unlikely but possible that some disease (liver, Leukemia, Lupus) or undiagnosed clotting disorder (Von Willebrand’s) could be causing the bruising.
The best predictor of a future problem is your response to previous surgery or dental procedures. No past problems…low probability of future.
There are medications (aspirin, cortisone, some herbal drugs, ibuprophen-type meds, blood thinners) and some dietary supplements (vitamin E, fish oil, Ginko) that may increase bruising. Some deficiencies (vitamin C, K, folic acid and B 12) could have a negative impact on healing.
If all of these problems have been “ruled out” you could consider taking Arnica Montana, a pill made from the mountain daisy. Our patients claim to have success limiting bruising using arnica.
Good luck with your surgery!
Michael Sadove, MD