Could damage have been done after receiving a very painful bear hug at 1.5 weeks post-op breast augmentation?

I'm sorry this surprise bear hug has concerned you, and your concerns are appropriate--tearing an incompletely-healed capsule, displacement of your implant, etc. Bleeding would be at the top of the "etc." part of your list, but that is easily diagnosed by visible swelling that essentially doubles the size of your breast, making the skin shiny and tight, and causing pretty significant discomfort, pain, and even numbness in the upper arm on that side. It appears that this is not a concern by your description of "no swelling yet."Simply examining your breasts for visibly asymmetry after the unwanted bear hug is another valuable test, and in the absence of swelling or asymmetry, you probably have little to worry about. Still, localized tenderness may indicate localized injury, and follow-up with your plastic surgeon is essential to allay your fears and to keep your surgeon apprised of your recent injury. Schedule an appointment soon; don't wait for your next regularly-scheduled follow-up visit.You also may wish to discuss this unwanted bear hug with a work supervisor or HR representative. I'm not an advocate of "stirring things up" in the workplace, but this unwanted, surprise bear hug sounds suspiciously close to a physical assault--your chest/breasts were squeezed without your consent or awareness. Only you know exactly what and how this occurred (even if it was an overly enthusiastic "welcome back to work"), but it seems to me that this kind of surprise greeting should not happen to anyone, recent surgery or not. Just saying.Sounds like you're fine, and that this will heal. But also see your surgeon, to whom you will go if there is any issue down the road. Best wishes! Dr. Tholen

Is it certainly possible however, it is impossible to say without an in person examination. Please address your concerns with your plastic surgeon. You are still very early in the healing process so discomfort is not uncommon especially after a "bear hug".

Thank you for your question.  I do think it is important that you follow-up with your plastic surgeon for an examination to be certain that there has been no change.Early after breast augmentation a significant compressive for such as a bear hug can cause a tear in the breast implant capsule.  However if this had happened to you I would've expected that your breast would have swollen become very painful and possibly bruised.My suspicion is that you are fine but she should follow-up with your plastic surgeon.