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Sudden Swelling and Pain in Left Breast 4 Weeks Post-op, What Could This Be?

I had 350cc of textured silicone under the muscle 4 1/2 weeks ago, as well as a full anchor lift. I'm 5'9/145 and was a deflated B and am hoping for a full C. This wk I woke up to pain in my left breast (mainly along the side under my armpit, much more swelling, and it is harder than the right (although neither are soft). My dr is in venezuela so I found one here in NY who sent me for an ultrasound that showed no hematoma/seroma. Could this be capsular contracture already? I've been massaging.

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hard swelling 1 month post-op

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5 Doctor Answers | Asked by mamamiaNY in New York, NY

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Surgery out of the country and now need medical advice.

This is why I would caution patients to never have surgery out of the county. You really need to consult with a reputable board certified plastic surgeon to determine the cause of your breast concerns. Be prepared for considerably higher fess as you are not a patient of the surgeon you are seeking post operative advice from. Best of luck!

Sudden breast pain and swelling

You are presently 4 weeks after your cosmetic breast surgery. If there is any sudden change in one breast overnight one must always need to consider fluid collection Seroma or hematoma along with the possibility of infection. If the ultrasound shows no fluid one might consider a ct scan of the breasts. Another option would be the need for re-exploration of the breast. This is not something I would sit on or take lightly in that it might just get worse.

You may have seroma

The pictures show more swelling of the left breast and larger breast. this can be due to infection,seroma or hematoma. Your right implant is positioned very high and your breast tissue falling off the implant.Exploration of the left breast would be warranted if the swelling persist.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

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Sudden Swelling and Pain in Left Breast 4 Weeks Post-op, What Could This Be?

If you are correct that this is a recent onset after 4 to 5 weeks than even with ultrasound showing no fluid or blood collection I might consider re exploration. Another thought is differing sized implants were used? But in my opinion based upon your written statement and posted photos I still believe re exploration of the pocket is needed. Expect to pay your New York surgeon a much higher fee because he is inheriting an out of country problem. As far as an infection I doubt because you do... more

Pain after breast implant surgery

This could be an infection. You do not usually go to bed without any contracture and wake up in the morning with a full blown case of capsular contracture. The really important lesson here is that you had a problem after returning home from surgery outside the country without consistent follow up by the operating surgeon. Medical tourism needs to be approached in the same way as you would for surgery down the street or around the corner in terms of choosing the surgeon an procedure and... more

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