What Are Signs of a Hematoma After Breast Augmentation?

I had breast augmentation a little over a wk ago, the implants were placed submuscular, my left breast seems to be slightly more swollen then my right, and causes me much more discomfort than my right breast, especially when i wake up. I worry this may be a sign of a hematoma or something is wrong.

Doctor Answers 37

Signs of hematoma after breast augmentation


It is not uncommon to have one breast hurt more and feel tighter than the other.  This is almost routine since our anatomy is not always the same from one side to another.  Signs of a hematoma that needs to be fixed includes:

Expanding size of the breast

Significant brusing

Progressively worse pain

Usually all of these signs are noted together when a breast hematoma occurs.

All the best,

Dr Repta

Scottsdale Plastic Surgeon
5.0 out of 5 stars 127 reviews

Signs of Hematoma After Breast Augmentation

The three signs of hematoma are swelling, pain, bruising.  Usually the affected sign gets very swollen and painful, and shows extensive bruising.  There may even be some bloody discharge from the incision.  Usually if you have a hematoma it is fairly obvious but if you are not sure have your surgeon check it out.

PostOp Hematomas are Characterized by Sudden Swelling, Pain, Bruising with Purple Discoloration & Significant Asymmetry

The type of swelling and discomfort that you are experiencing is probably normal. Patients undergoing breast augmentation can anticipate significant swelling in the immediate post operative period. The swelling can be asymmetric and tends to resolve quickly in the vast majority of patients.

In contrast, post operative hematomas are characterized by sudden swelling, pain, bruising with purple discoloration and significant asymmetry. Hematomas require re operative surgery to control bleeding and evacuate residual blood within the breast pocket. It’s important to recognize and treat hematomas following breast augmentation promptly to avoid secondary complications. Untreated hematomas can result in significant capsular contractures. In light of your concerns, it’s appropriate for you to seek consultation with your plastic surgeon. Although it’s most likely swelling, a careful evaluation is still appropriate.

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Post Op Hematoma with Breast Augmentation

Minor differences in swelling and tenderness are not usually a cause for concern. If you have a significant hematoma, the difference will be obvious and dramatic. In either case, if you are concerned you should contact you surgeon who can give you an expert opinion.

Mark Preston, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 16 reviews

Signs of a Hematoma

Slightly more swelling in one breast over the other is the rule, not the exception and is totally normal  This will settle down over time and they will be more symmetrical.  A significant change in size in one side compared to the other is the tell-tale sign of hematoma, and you should call your surgeon, immediately if this occurs.

Dustin L. Reid, MD
Austin Plastic Surgeon
5.0 out of 5 stars 68 reviews

What Are Signs of a Hematoma After Breast Augmentation

The signs of a hematoma following breast augmentation are usually increased swelling and pain.  You should be checked if you suspect a hematoma because you may need operative intervention.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 67 reviews

Signs of a hematoma after breast augmentation

Signs of hematoma after augmentation are: Marked swelling, black and blue, increasing pain, uneven breasts. If you have any of these symptoms and signs GO no RUN to the operating surgeon. I assume the operating surgeon is in MIAMI? If not, please call my office to see me ASAP. You may need drainage surgery!

From MIAMI Dr. Blinski

Signs of hematoma after a submuscular breast augmentation

From what you are describing this does not sound like a hematoma. Breast hematomas usually present within the first 48 hours and are commonly unilateral (one side) significant swelling, firmness and bruising. If you had a hematoma you would know it! Fortunately enough, this sounds like normal post-operative swelling which is never symmetric and usually more pronounced on your dominant side.

I hope this helps.

Dr. Trussler

Andrew P. Trussler, MD
Austin Plastic Surgeon
5.0 out of 5 stars 21 reviews

Signs of hematoma after Breast Augmentation

It is not unusual after a BBA to have one breast slightly more swollen than the other, or more uncomfortable than the other. Hopefully, you have mentioned this to your surgeon.  Signs of a hematoma are, bruising, increase in pain, and a significant difference in size.  This is a condition that should be treated immediately by your surgeon.  Again, if there is any doubt, or if you have any questions in general about your situation, please direct them to your operating surgeon. 

Hematoma after breast augmentation?

The simplest answer: if you have a concern, call your surgeon. That being said, the common symptoms of hematoma are significant asymmetric swelling, sometimes associated with increased pain.

I hope this helps!

Bryan Correa, MD
Houston Plastic Surgeon
5.0 out of 5 stars 8 reviews

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.