One Breast More Swollen and Sore 10 Days Post Op? (photo)

I am 10 days post op with 350 uhp silicon under the muscle. My left breast swelled up immediately after surgery and remains very swollen, sore, and about an inch higher than the right. I did not have any significant bruising I either breast. My plastic surgeon did not seemed concerned about it and just told me that I should take 600mg of Advil every 6 hours. He also does not recommend massage. Is this size difference acceptable or does it look like something more?

Doctor Answers 12

One breast is larger than the other shortly after breast augmentation

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The photo you have shown the left breast looks much larger and higher than the right.  If the left breast was previously symmetrical at day one and then swelled larger than the right after that there is a definate chance there is a collection of blood around the left implant. If it was like this right after surgery then you have developed a hematoma.  A lot of blood will make the left breast tighter and more painful.  Taking Advil will only mask the pain and increase the likelihood of more bleeding as Advil thins the blood.  I do not allow my patients to take any NSAIDs such as Advil for at least a month for fear of bleeding and capsule contracture.   I would consult with your PS again or seek a second opinion.   Not evacuating a hematoma will always result in a hard breast due to capsule formation. 

Honolulu Plastic Surgeon
4.8 out of 5 stars 106 reviews

Too early

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Hello. It is far too early to decide if you have post operative asymmetry. The implants are still falling into their final position and you are still experiencing swelling which may not be equal on each side. I would recommend you continue following any instructions from your surgeon and give yourself at least four months before you start to worry about your outcome.

Jaime Perez, MD
Breast Augmentation Specialist
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

Breast Augmentation Recovery and Size Concerns

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    A size discrepancy after breast augmentation with increased pain may be a hematoma or fluid collection, but the pictures do not necessarily suggest that.  This may be due solely to implant position.  It is best to have an exam by your plastic surgeon.  Kenneth Hughes, MD Los Angeles, CA

Asymmetric healing normal

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It is very common for the breasts to heal at different rates especially earlier on in your recovery. Allow about 4 months for your breasts to even out and assume a more natural breast shape.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 25 reviews

Ten days post breast augmentation, uneven swelling.

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Thank you for the photos. You are still very early in your post operative course.  Breast implants tend to start dropping into place after 3 to 4 weeks. They usually will get to their final position in 6 to 12 months. One will usually drop faster than the other, and the shape may go through changes. Please follow your Board Certified Plastic Surgeon's post op instructions. For example; we like message, but some surgeons will have you wait, or do it in a specific manner. Please also let them know your thoughts and concerns.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Swelling following breast augmentation

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Hi there

Thank you for your kind enquiry.

It is very difficult to tell is this is significant. You look as though you have a very nice aesthetic breast with a good early result but admittedly there is more swelling on your left breast.

It is completely normal to have asymmetric swelling following an operation and this is very common with augmentation surgery. Please do give it time, wear a support bra and seek advice from your surgeon

Good luck!

Breasts uneven

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Thank you for your question.
You are very early in your recovery and breasts can heal at different rates. It will take time for the your breasts to heal and drop into position. Continue to follow your surgeons instructions and contact him/her with any concerns. Best of luck.

One Breast More Swollen and Sore 10 Days Post Op

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Thank you for submitting your question and photo. Your very early in your recovery from breast surgery. Your breasts will soften and the shape will change over the next several weeks. The left breast swelling and pain is concerning and you should go back to discuss your concerns with your Plastic Surgeon. Best wishes

Breast asymmetry

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It is always helpful to see pre-op photos.  Usually the two breasts are a bit different. You need to give it more time to heal.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Asymmetric swelling and soreness 10 days after surgern

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Your doctor is the best one to know why the left breast is more swollen and tender.  You might have had some bleeding or increased swelling  in that side.  It is still early and the left breast may just take longer to settle in. I would not recommend massage at this point, however compression may help. It may take 6 weeks or more for the left breast to become more like the right

Marialyn Sardo, MD
La Jolla Plastic Surgeon
4.0 out of 5 stars 6 reviews

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.