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I Am in Severe Pain After my Breast Augmentation - Is It a Hematoma?

asked 1 year ago by Renee1979 in Brisbane
Latest answer by Tom J. Pousti, MD
Question viewed 1,707 times
Tags: pain, revision, swelling

I had a Corrective BA 6 days ago & have since been in severe pain on the left, to the point that I cannot lift my left arm, my whole side & under my arm pit are swollen terribly and am having sharp shooting pains when I breath. I am unable to get out of bed, pain killers are not helping and I really need a second opinion. I really do not know what to do or who to talk to about this. The surgeon said to stop stressing and has wiped his hands of it. Pls Help!

25 answers to I Am in Severe Pain After my Breast Augmentation - Is It a Hematoma?

Pain after breast augmentation

Hello and thank you for the question. The photograph you have provided does not provide an excellent view of the breast, but it does look a little erythematous to me. I am concerned that your are in so much discomfort despite being on oral pain medications, which should be adequate in controlling your pain. I recommend you either A) see your physician for an immediate evaluation or B) proceed to the emergency room for an assessment. Best, Glenn Vallecillos, M.D., F.A.C.S. more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

Breast pain and swelling after breast implant surgery

Complaints of pain and swelling after breast augmentation are always to be taken seriously. You should insist on seeing your surgeon personally. If he has seen you already and feels there is nothing wrong, you can either accept his opinion or seek a second opinion. If he is unwilling to see you with such complaints, you should seek a second opinion.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Hematoma (Bleeding) after Breast Augmentation

Dear Renee1979, It is hard to tell from that photo - if you can post a front photo showing both sides from about 4 feet away it might be easier to see - but your symptoms are very worrisome for a hematoma. Above all else you need to be seen - IN PERSON - by a plastic surgeon, either your own or another. If you cannot see your own plastic surgeon, for any reason, you should contact another one near you or, as as last resort, go to an Emergency Room at a nearby hospital... more

Alan Engler, MD
New York Plastic Surgeon

Recovery after breast implant surgery

Their may be some miscommunication between you and your surgeon. You say he has washed his hands of it. Is that after seeing you or without any examination for your current complaints? Since you pay for surgery and aftercare at one time if he has not seen you for this complaint and refuses to do so move on -go to the emergency room or find another surgeon. If he/she has seen you and doesn't feel it is a hematoma that is another story. Without having examined or operated on you there... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Severe pain, post BAM

At 6 days, you should be getting better, no worse. Of course, I have to tember my remarks with the fact that I don't know what was done to "correct" the situation. In any event, prudence would dictate that you see the doctor today to be evaluated. You do have bruising for sure. An ultrasound may be indicated depending on exam. You didn't mention if the size of the breast is expanding? sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

Severe pain after breast augmentation

I agree you should go immediately to see another board-certified plastic surgeon and if you cannot get into someone's office then simply go to the ER and they will call the plastic surgeon on-call for the hospital. This sounds like a post operative hematoma which is not an absolute emergency, but it does need to be addressed as soon as possible. Any board certified plastic surgeon will be able to tell if you have a hematoma on examination. If you do, then the solution... more

James F. Boynton, MD
Houston Plastic Surgeon

www.BoyntonPlasticSurgery.com

Severe pain after BA should be treated.

As you stated, you really need a second opinion and your surgeon is unwilling to see you. You should schedule a visit to another surgeon asap and do not hesitate going to the ER if you feel it is necessary.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Severe pain after breast augmentation

I'm sorry this has happened to you. While some pain is normal, it sounds like your pain is outside of what is expected. If your surgeon won't see you, make an appointment to see another plastic surgeon as soon as possible.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Concerns after breast augmentation

If you are having problems after surgery, you should absolutely call your doctor and go see him. Your doctor should be available to you.

Steven Wallach, MD
Manhattan Plastic Surgeon

Contact your Board Certified Plastic Surgeon

Anytime you have concerns, be it pain or healing, you should contact your surgeon. If your surgeon is unresponsive to your concerns, go to your local emergency room. best wishes!

Christine Sullivan, MD
Columbus Plastic Surgeon

Severe Incapacitating Breast Pain after Augmentation in Australia

I cannot understand why would a Plastic surgeon do the Potius Pilsate and "wash his hands" from his patient. This is wrong on MULTIPLE levels not worth enumerating. You should NEVER be in such severe pain NOR have any of the symptoms you enumerated . It does not look like you have a hematoma but this does not mean you do not. Go the the nearest emergency room as soon as possible and have them get a chest film to make sure you do not have a chest perforation - pneumothorax or another serious... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Complications after Breast Surgery?

Thank you for the question. The description of your symptoms are very concerning. I would suggest follow-up ASAP with your plastic surgeon; if he/she is unable or unwilling to see you then a 2nd opinion may be your only option. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Pain after breast augmentation revision surgery

Sorry that you are having this type of issue. We are all at a bit of a disadvantage as the photo you sent does not give a good view. We also don't know the extent of surgery or what the plastic surgeon did in the operating room. We also don't know if the doctor has seen you with the current symptoms. In any case, the plastic surgeon, or whoever is covering for him should be available to you. If he truly does not want to see you, then it is OK to... more

Jeffrey Roth, MD
Las Vegas Plastic Surgeon

Hematoma post operativly

The incident of hematoma, althought small, does exist. Without an examination it is impossible to diagnosis. One side will be much larger than the other, as a rule. There can be bruising much more significantly on the affected side. Once again insist on an office visit so a clinical exam can be performed. Also do not take asprin or asprin products. Good luck to you.

Rodger Wade Pielet, MD
Chicago Plastic Surgeon

Is it a Hematoma?

It is too hard to tell by the photo you provided. Although everyone has different degrees of pain and discomfort after breast implant surgery, the amount of pain you are describing is atypical. However, guessing at your diagnosis through this venue will just generate more anxiety for you. I would highly recommend you reattempt to see your plastic surgeon as soon as possible! Good Luck Dr. Babak Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon

Please call your surgeon and tell him that if he not see you now ,you will go to emergency room

Your may have infection,hematoma or just more than normal swelling . Your surgeon has moral,ethical and legal obligation to take care of you . You need to have a discussion with your surgeon and explain to him that you will go to ER if he does not see you. He Will see you after that...

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Sounds like a hematoma

I am sorry that you are suffering. You need to call your plastic surgeon again and be seen. Your picture and description sound like you may have hematoma.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Severe unilateral breast pain with swelling 6 days after breast augmentation

Severe unilateral pain with increased swelling may be indicative of a hematoma. Given the extent of your symptoms, I would seek immediate medical care either by recontacting your surgeon, impressing on him/her the severity of your symptoms and demanding to be seen or obtain a second opinion preferably from a board certified plastic surgeon. Being assessed in an emergency room would be the next choice if the above fail.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

I Am in Severe Pain After my Breast Augmentation - Is It a Hematoma?

You need immediate medical care! Like NOW!. Please seek help. Yes this could be a hematoma. From MIAMI DR. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Pain after breast augmentation

While pain and swelling and bruising are definitely part of a normal post operative course, having any of those symptoms on one side and not the other can be a sign that something is wrong. You should demand to see your PS and if he is unresponsive then go to a near by ER to be evaluated.

Delio Ortegon, MD
San Antonio Plastic Surgeon

Pain after breast augmentation

Pain after a breast augmentation is quite common. Severe pain with swelling on one side is quite suscpicious. It is hard to believe that your surgeon is unpesponsive. Make an appointment with him right away or go to an emergency room if necessary. Best of luck

Talmage J. Raine, MD
Chicago Plastic Surgeon

Severe pain after breast augmenation may signify a problem

The severe pain that you are describing, together with the swelling on the photograph makes me very suspicious for a hematoma. This should be addressed immediately. Also, the redness may be from an infection. Either way, you should call your surgeon and he/she should see you immediately. As you can see from the responses on here, a surgeon should never be unavailable to a patient that is describing the symptoms that you are. If your surgeon will not see you,... more

Matthew Schulman, MD
New York Plastic Surgeon

Severe pain after breast augmentation needs immediate attention

The signs of bleeding after breast augmentation include severe swelling and pain within the breast, which can also extend to the underarm area. Bruising is a later occurrence which is what patients expect from bleeding. If your surgeon is not responsive you should go to the emergency room at your local hospital and the 'on call' plastic surgeon should have a look. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Need to see a doc

It is hard to believe that your surgeon, if he is indeed a plastic surgeon, would tell you not to stress. It sounds like something that is a problem and could be a hematoma. You need to see someone. If all else fails go to the emergency room and get the proces started.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Severe pain after breast augmentation

I am very concerned that you have a postoperative hematoma. I would recommend immediate re-evaluation by your surgeon or another physician. If detected early, hematomas can be evacuated in a quick outpatient surgery. This should substantially decrease your pain and lessen your risk of longeterm sequelae, such as capsular contracture. I wish you a safe recovery.