I had a second revision on right breast on March 17. It is still swollen and I have a small lump in the right upper outside that I noticed yesterday. I was instructed not to massage for 3 weeks, but am concerned about scar forming before that. Any thoughts? How long does the swelling last? Thanks in advance!
How Long Does Swelling Last After Open Capsulotomy?
Doctor Answers 13
Capsules and swelling
After a capsulectomy or for that matter any surgery will leave residual swelling for several months after surgery.
Major swelling gone, 4-6 weeks.
Compression bras and dressings are frequently used following capsulotomy to minimize swelling.Swelling can add to a patient’s post-operative discomfort.It can also increase anxiety regarding breast size immediately after surgery.
For these reasons, we feel it’s important for the patient and surgeon to have good communication regarding this topic immediately following surgery.In this situation, a little reassurance can go a long way towards making this a more comfortable experience.
Upper Breast Lump Following Revision
Postoperative swelling, especially after capsule procedures can last several weeks. This lump could be a collection of blood or fluid, or even a reactive lymph node. In the presence of swelling, it may be difficult to ascertain the nature of this lump. Nevertheless, I recommend visiting your surgeon promptly, especially if this lump increases in size quickly.
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You didn't mention having a drain
It is not my practice to use drains for primary augmentations but I do use them frequently in capsulotomy and capsulectomy patients. I am usually surprised how much they drain and I am always glad I used the drain. I will bet you have fluid around the implant. This might be absorbed by your body or it might need evacuation if it is more than a small amount. An ultrasound would help to determine this. They could also drain it under ultrasound guidance to protect the implant. Much fluid, left around the implant, could incite the beginnings of another capsular contracture.
Most capsulotomy swelling should be gone within a month
Some swelling after capsulotomy is expected, but usually most is gone after about a month.
Scar tissue formation would not be dependent directly on massage. The massage will help keep the pocket open and stretch the spasm muscle.
Capsulotomy swelling can last a few weeks or more
Swelling after surgery can last a while and it is difficult to know without knowing more about your case. Some of these cases are simple and others require more surgery. The longer operations tend to have swelling that takes longer to subside.
The capsule will not recur in such a short period of time. It takes longer to form.
About Healing Post Augmentation and Capsular Contracture
Patients will feel #sore and tired during the first 48 to 72 hours following surgery. During these first few days, you may engage in light activities, but must refrain from lifting or raising your arms above your head.
Swelling and bruising will subside during the first week after surgery and can be managed by pain medication. The initial surgical tapes will be removed a few weeks after surgery during a post operative visit. #Revision patients typically may return to a work a few days after surgery (only a light workload during the first two weeks). Showers are permitted on post op day three if there are no drains.
Scars will progressively fade throughout the first year following surgery and products may be applied a few later but only with your surgeon's permission.
Swelling Post Capsulotomy
Too early to tell
At 10 or 12 days out from your surgery it is too early for you to develop a new scar contracture. The small lump may be a lymph node that is reacting to the trauma of surgery. Follow up with your surgeon for updates on your progress. Good luck!
Too early for a recurrence
It is possible that the lump that you are feeling is swelling in the breast tissue itself and not related to the formation of a new capsule. At 10 days the breast would be expected to be firm but it is unllikely that an abnormal capsule is already reforming. If an extensive capsulectomy or capsulotomy was performed then post operative swelling is expected. Your surgeon is in the best position to determine the next appropriate step for you. He understands where the capsulotomy was performed and what physical findings are normal and which are abnormal.
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.