Breast Swollen After Sleeping on It

I had a breast augmentation in 2008. Everything had been going great until yesterday. When I woke up, my breast was a little swollen and the muscle around it hurt a bit. I think I slept on my side the entire night, putting a lot of pressure on my breast. At the end of the day, the top protion was swollen (like when your breast is swollen when breast feeding) and it hurts in that same area. Any idea what this can be? Will the swelling go down by itself? Please help, thank you. Michelle M.

Doctor Answers 8

Sudden Breast Swelling Years After Breast Augmentation

It is difficult to say exactly without examining you, but based on your description the diagnoses to consider are bleeding, infection, seroma (fluid collection), or early capsular contracture.  My recommendation is to make an appointment with your plastic surgeon so you can be examined and treated accordingly.

Hope that helps and good luck!

Dr. Babak Dadvand

Los Angeles Plastic Surgeon
5.0 out of 5 stars 45 reviews

Breast Augmentation Swelling

Thanks for the question.

There are various reasons as to why your breast may be swollen and without examining you, it is difficult to say. I recommend you follow up with your surgeon for an evaluation as this is an atypical finding.

Best of luck,

Glenn Vallecillos, M.D., F.A.C.S. 

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews

Breast swollen after sleeping on that side

That is a difficult question to answer and I would also be concerned about either a hematoma or seroma although both are relatively unlikely given how far out you are from surgery.

My recommendation is to see your Plastic Surgeon and have an actual examination.  That is really the best way to figure out what is going on.

I hope that helps!

Gregory A. Buford, MD, FACS
Denver Plastic Surgeon
4.9 out of 5 stars 42 reviews

Sudden swelling of a breast after sleeping on it.

I have not heard specifically of this problem but would be concerned about a hematoma or seroma. It would be best for you to set up a consultation with a plastic surgeon who may order an ultrasound.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Breast Swelling after Augmentation

I would contact your plastic surgeon to assess your breast.   It seems possible that you had a capsular tear with bleeding.    Patients will typically describe a tearing or sharp pain in the breast after stretching or heavy physical activity.  They may then palpate a bubble where the implant is herniating through the capsule.   It is also possible for the capsule to bleed and cause a hematoma, so please have your surgeon examine you.   If there is any question in your diagnosis, a breast MRI will provide the necessary information.   All the best.


Paul S. Gill, M.D.

Gill Plastic Surgery

Houston Double Board Certified Plastic Surgeon

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

Swollen breast after sleeping on it may need a recheck visit.

This could be implant displacement, capsule rupture with bleeding or seroma, or most likely nothing at all. Spontaneous infection is the least likely of concerns! If this swelling persists, a visit to your surgeon will provide a definitive answer and reassure you! I'm always happy when I can find "nothing wrong" and make my patient's day better. If not, then we're both glad she came in to find out how to deal with the concern, whatever it turns out to be. Best wishes!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 255 reviews

Swollen breast!

If the swelling does not improve at all within 48 hours and there are no signs of infection (fever, redness, more pain, etc) you may have a spontaneous seroma.  I have seen these occur even 10 years after a breast augmentation.  I would see your plastic surgeon just to be safe.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

Breast swollen

There are many reasons for a breast to beecome swollen.  WIthout an exam it is allmost impossible to say what it could be.  You may want to check with your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 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.