3 weeks ago I had under the muscle breast augmentation (silicone,450 each) bringing me from a 34C to a 34DD. From the time I awoke I experienced more pain in the left breast than right, but size appeared even. I'm noticing now swelling in the left is not subsiding as quickly as the right, and it appears to sit higher than the right breast as well. Is this normal? Adding to my anxiety, my son's soccer ball hit me in the left breast 1 wk post op. Could this cause serious/permanent harm? Thank You!
Uneven Swelling/dropping of Breasts 3 Weeks Post-op
Doctor Answers (5)
Uneven swelling of breast post-operatively
Uneven swelling three weeks after surgery is not at all unusual. It will probably take another 3-6 months for all the swelling to resolve and for you to be able to see your final result. It sounds like, for whatever reason, there was more surgery on your left side than right--which would be expected to make the healing process slower.
I understand your concern about being hit by the soccer ball and the person best able to judge whether there was significant damage from the incident is your surgeon. Chances are, if there was no significant change immediately after you were hit, there is minimal to no additional damage. But you should be seeing your surgeon on a regular basis to evaluate your healing and he or she would be the one to decide if there was damage. Just remember there is always some difference between our two sides and we all tend to be more critical of our own "flaws" than others are. So relax and enjoy your new look.
Uneven swelling after breast augmentation
Swelling following breast augmentation does not always subside evenly. More likely than not, the edema will continue to go down. However, if you noticed a significant size increase in your left breast immediately after being hit with a soccer ball, it is possible that you developed a hematoma on that side. You should ask your plastic surgeon, and consider obtaining a breast ultrasound if it persists.
Uneven Swelling/dropping of Breasts
Swelling after surgery is very common and can be uneven despite the fact that you are 3 weeks post op. However, during the next week(s) you should be able to see the swelling decrease and notice an improvement in the appearance of your breasts. The trauma of the soccer ball hitting your Left breast might cause the swelling on that side to last a little longer. As always I recommend that you follow up with your surgeon. He/She via a physical exam will be able to determine if your swelling may be associated to any other pathology such as: infection, seroma, or hematoma. These conditions are a little more serious and would possibly need treatment. So I recommend that you see your surgeon within a reasonable amount of time.
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Normal for asymmetric healing rate
When breast implants are first put into your body, they typically sit higher up in the chest. This is because it’s the path of least resistance – your body requires some time to adjust to their presence, regardless of whether they’ve been placed in a sub-mammary (between breast tissue and chest muscle) or sub-muscular (under both the breast and chest muscle). Immediately following surgery, you’ll find that your newly enhanced breasts appear very full and swollen, especially in the upper portion above the nipples. Your skin will most likely look very tight and your nipples may point slightly downward as well. This may make the shape and overall appearance of your breasts appear unnatural. As your body accommodates to your new implants, you’ll notice that your breasts will gradually look more and more natural – the way you hoped they’d be! Over the course of about three to four months, your body creates new skin to accommodate the additional volume of your implants. This natural process is called “tissue expansion”, and relieves the tightness you may be experiencing. It allows for the implants to settle more into a better position with the help of gravity. A gradual redistribution of volume from the upper to the lower breast occurs, resulting in an enlargement and rounding out of the lower breast. This can happen faster in one breast than the other, and this is probably what is happening to you.
Although it's often called "dropping", it is more like "redistribution". The "fluffing" part refers to the impression that the lower breast enlarges and that your skin softens with the creation of new tissues. The extent to which this occurs depends on several factors, including the implant size, the tightness of your skin, and your body shape.
If you are concerned about the soccer ball hitting you, please see your surgeon. However, if you aren't feeling any pain, tenderness or irritation, or have any unusual sensation, it should be okay.
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.