Breast Implants: Q&A
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How Do I Know if I Have an Infection or Hematoma After Breast Implant Surgery?
I had silicone breast implants placed 15 days ago. The left is soft and painless. The right is painful and harder to the touch. I had bilateral capsular contractures with saline implants in the past and am very concerned. Could this be an infection? Hematoma? Or contractures again?
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11 Doctor Answers |
Asked by
danilas
in Voorhees, NJ
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Hematoma or infection
In short, your symptoms could be any of the three that you mentioned. Hematoma is generally accompanied by bruising, and your affected breast will be larger than the unaffected one. Infection may or may not be associated with fever. I generally ask my patients to begin breast massage soon after implant placement. There is some evidence that this can help reduce the occurrence of capsular contracture. Additionally, Accolate or Singular may contribute to the...
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Hard Breast Atter Recent Breast Augmentation Surgery
Since you have two breasts and both had the same procedure, it is understandable that you would be concerned about how different they feel after recent surgery. In theory, the harder right breast should feel more similar to the left and should not be considerably more painful at this point after surgery. You should return to your treating plastic surgeon immediately and discuss your options. It will not be a capsular contracture at this early point after surgery, but it may be a small...
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Firm, painful breast 15 days after surgery
Please go back to your surgeon for a personal evaluation. With your history of prior capsular contracture, I'm assuming that you had more done than just a simple breast implant exchange. 15 days after surgery, it's possible to have a hematoma or seroma. With a hematoma, you might see new bruising on the breast, but not always. With a seroma, you might feel a fluid wave or "swishing" in the breast, but not always.
The fact that your breasts are so...
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Pain and hardness early after breast augmentation
From the symptoms you describe and the time frame, infection and hematoma are most likely. Capsular contracture typically takes at least 4 to 6 weeks before setting in. It is important to follow up with your surgeon as soon as possible.
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Painful Hard Breast
I think your concern is very reasonable due to the fact that one breast has no problem and you have had capsular contracture in the past. These are concerns that I would want to be made aware of if I were your surgeon. Please call him(or her) to be seen very soon. Good luck!
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Early post-op issues after implants
After having implant exchange surgery and removal of capsules, it is likely that one breast required more work than the other. But, any questions this early should be directed to your surgeon if you are worried about a possible hematoma.
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Early Post-op Concerns Need to be Directed to Surgeon
No one can tell you if you have a hematoma or infection from the information you provided. This should be addressed by your surgeon as soon as possible. Even if it does represent a hematoma, that hematoma can become infected if not properly and timely treated.
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Post implant questions
Only your doctor can answer this. It would be too early for cc and if you don't have fevers and redness it probably isn't infection and if the one breast isn't dramatically larger it isn't a hematoma or a seroma. Can't be diagnosed over the internet. Go back to your doctor and have an evaluation.
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Breast implant problems
This may be a tough diagnosis to make and I understand your anxiety over the matter. I would remain in close contact with your surgeon and his /her staff.
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It is NOT Smart to Self-Diagnose and Treat Post-Cosmetic Surgery Complications
No one has recurrent capsular contractures in 2 weeks. A painful hard breast COULD indicate a hematoma, an infected hematoma or an infection. Rather than trying to guess what it is, I suggest you have your surgeon diagnose it and treat it. You should NOT be diagnosing much less treating yourself.
Dr. Peter Aldea
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