3 Days Post of Hematoma/seroma or Swelling? Doctor Answers, Tips
Breast Augmentation: Q&A
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3 Days Post of Hematoma/seroma or Swelling?

I am 3 days post op and my right breast is much more full and larger. it is also very tender and sore to touch. The pain goes away with the pain pills. I didnt know if it was something I should be concerned about I have my post op visit in 3 days. thanks.

9 Doctor Answers | Asked by stepheejoan in ardmore, PA
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3 days post op swelling, or something untoward?

Thank you for sending your photo. It is hard to see the entire surgical area. Usually hematomas present with significant swelling and pain on one side. Swelling 3 days after surgery is normal and may not be exactly symmetrical. If you are having concerns, best to contact your plastic surgeon and let him/her know.
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Post-op Hematoma/Swelling

IT's difficult to tell exactly what's going on from your photo. If a hematoma is significant it's usually most noticable in the upper part of the breast. It's normal for one side to swell differently or recover at a different pace. If you truly suspect a significant hematoma, I generally suggest not waiting three days to be examined. Hematoma is a main issue contributing to the formation of capsule-contractures so, althought a hematoma will usually... more
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Hematoma Concern

Following breast augmentation, dramatic size asymmetry with pain is very concerning for a postop bleed, or hematoma. Your picture is not that compelling, but the safest thing is to get seen sooner rather than later. Swelling is not always symmetrical, especially if one dissection was more problematic than the other. To be safe, don't ignore this finding.

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Breast augmentation swelling or hematoma?

There is always some swelling after breast augmentation and the swelling is not always symmetrical. It is difficult for me to comment about your pain symptoms though because my patient almost never complain of pain after breast augmentation. When my patients complain of pain after augmentation I always investigate thoroughly to make sure that they do not have a hematoma or infection. With early treatment complications of breast augmentation can be successfully treated. more
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Pain and swelling after breast augmentation

Breasts do not always heal exactly the same after breast augmentation. Pain and swelling may not be symmetrical. However, a hematoma can cause the symptoms you describe. Whenever there is any question of a hematoma you should contact your plastic surgeon as soon as possible. Hematomas can happen in the best of hands, but early treatment results in a successful result.
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Your photos do not indicate the presence of a hematoma in your right breast

In general, when a hematoma occurs post breast augmentation the breast with the hematoma appears dramatically larger. Your photos are somewhat difficult to evaluate but there does not appear to a major difference in the size of your right breast. It is common for one breast to be more uncomfortable without the presence of a hematoma. If I had to guess I would say that you do not have a hemtoma. However, I would advise you to see your surgeon as soon as possible just in case. more
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Post op swelling

It is difficult to tell by the photos you have posted what the cause of the swelling is. Most often swelling is a result of the healing process, and can be greater on one side than the other. You should reach out to your surgeon for an answer.
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Hematoma or swelling, don't wait

At three days you do not have a seroma, and if the swelling is uneven right to left hematoma is the greatest risk. We like to see our patients three days after breast implants, and your surgeon too, if you are having concerns would appreciate seeing you sooner rather that later. Don't wait another three days, get in and have him take a look. Best of luck, peterejohnsonmd
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Breast implants, breast augmentation

If one breast is larger it could be a hematoma. Is there more bruising on that side. You should contact your plastic surgeon
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