Seroma or Normal Swelling After Breast Augmentation?

How can you tell the difference between a seroma and normal swelling? I have an area of puffiness over my right breast, and the area is numb. But it is squishy, not hard like typical swelling.

It has been two weeks since my Breast augmentation surgery. Also, my right implant still sits higher than my left.

Doctor Answers (9)

Seroma or swelling

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It can be difficult to differentiate between the two.  Early on there is likely a little of both and as you heal both should improve.  Swelling that starts later on in the recovery, months after surgery, is much more likely to be seroma as opposed to swelling.

All the best,

Dr Repta

Scottsdale Plastic Surgeon
5.0 out of 5 stars 106 reviews

Seroma or Swelling after breast implant augmentation

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Your plastic surgeon is the best person to distinguich a seroma from swelling in the early post-operative period.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 51 reviews

Clinically difficult

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It may be difficult to tell by physical exam alone.  If there is a concern, an ultrasound may be helpful.  The question would become, what to do with it?  The numbness is more likely due to surgery.


This may be normal

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Only your surgeon will know if this is normal or something to be concerned about.  Go back for a visit to be checked.  If unclear, an ultrasound can be done to look for fluid around the implant that could represent a seroma or resolving hematoma. 

See you plastic surgeon for an evaluation

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If your swelling is asymmetric or more on one side than the other, you should make an appointment with your plastic surgeon. It is not uncommon for one implant to settle at a different rate than the other and usually time and or massage will help this. An ultrasound would be a helpful study if your plastic surgeon is concerned about a seroma forming.Take care.

Dr Edwards

You'll need an exam to distinguish seroma from swelling

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Without examination, at this stage it is not easy to say. Your surgeon might be willing to order ultrasound, but hopefully after exam, with or without ultrasound, that could be differentiated.

M. Ryan Khosravi, MD
Los Angeles Plastic Surgeon
4.5 out of 5 stars 9 reviews

Implants and swelling vs seroma?

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 At 2 weeks, it may difficult to tell. Is the squishy sensation the saline implant?  If it is  gel implant than it is a different story.  It is best to be evaluated by your surgeon. He may wan to get an ultrasound to be sure.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

See your surgeon

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Seroma is a condition involving the collection of clear tissue fluid around the implant that may need to be drained, although it could be absorbed by your body. Either way, you should see your surgeon just in case.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.