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.

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6 answers to “Seroma or normal swelling after...”

A: Seroma is uncommon

Christopher L. Hess, MD

Of all the augmentations I've done I've never seen a seroma.  I guess it is possible if the aug was done subglandular but I doubt it.  See your surgeon for a real evaluation. In term of the implants falling.  I have all of my augmentation patients wear a bra that has a strap that goes over the... more

A: Clinically difficult

Scott E. Kasden, MD

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. sek

A: This may be normal

Richard P. Rand, MD

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. 

A: See you plastic surgeon for an evaluation

Michael C. Edwards, MD

    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... more

A: You'll need an exam to distinguish seroma from swelling

M. Ryan Khosravi, MD

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.

A: Implants and swelling vs seroma?

Steven Wallach, MD

 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.

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