Is it normal to have swelling on my left side and under my arm 1 month post op? (Photo)

Question

I can't really tell how much swelling has gone down since my surgery. I have noticed my left side has much more swelling than my right side. If I start trying to exercise my chest could that help shape my chest or add more swelling?

Richard A. Bartlett, MD · Answer

Dear enjoythejourney91, Thank you for your question and congratulations on your operation. Although it is hard to tell from just a photograph, the short answer is that yes it is normal to still have swelling. I tell all of my top surgery patients that the final result cannot be judged until at least 6-12 months after surgery. As far as activity limitations, each surgeon has his or her own specific recommendations. I advise my patients to avoid vigorous physical activity for at least 6-8 week post operatively. I suggest following up with your Board Certified Operating Surgeon if you are still having concerns. Best of luck to you!

Tracy Kayan, MD · Answer

Thanks for your photo - at 1 month post op, the swelling should be getting better, definitely not worse. I would advise visiting your surgeon to ensure there is not a fluid collection (seroma). Sometimes this requires an ultrasound to see and aspirate. Until then, you should still wrap tightly and minimize your activity level.

Lorelei Grunwaldt, MD · Answer

Thank you for your question.  It is very normal to have swelling a month after TOP surgery.  The final result is usually not seen for at least 6 months after surgery.  I typically tell my patients not to do any heavy lifting or strenuous activity until at least 6 weeks after surgery.  If you stress your chest muscles too much before that, you could end up causing a fluid collection or making the swelling worse.  I have my patients wrap gently with an ace wrap for 6 weeks after surgery to help with swelling.
Best,
Dr. G

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