Is it normal for one breast to be more swollen than the other two weeks post op? (Photo)

I had 375cc silicone implants done two weeks ago. They were done under the muscle with a periareola lift. My left breast the bruises are dissipating and it feels more "normal", it's still swollen but tolerable. My right breast the bruises are still pretty prevalent and the swelling goes almost up to my collar bone. I've been using ice packs, heading pad, the band and sports bras. I'm not sure what else I can do to alleviate the swelling.

Doctor Answers 8

Swelling in one breast after surgery

It is not normal for your right breast to be so swollen and bruised 2 weeks post surgery.  By the appearance of your photographs, your appear to have a sigificant haematoma of the right side.  This is a collection of blood around the implant an must be removed so that infection doesn’t develop.  Also if it is left untreated, other complications such as capsular contracture are likely.  It is imperative you see your surgeon who will arrange drainage and washout of the right side.

Sydney Plastic Surgeon
4.7 out of 5 stars 48 reviews

2 weeks post op, some advices:

Thanks for the question.
Its early to talk about results.
In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense.
In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.
Kind regards,
Dr. Emmanuel Mallol.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 271 reviews

2w postop

Some degree of asymmetrical swelling is normal. If it becomes worse you should see your chosen surgeon to rule out possible seroma. 


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews


With any concerning changes or new bruising, close follow up with your board certified plastic surgeron is critical. Best of luck, MMT

Marissa Tenenbaum, MD
Saint Louis Plastic Surgeon
4.6 out of 5 stars 10 reviews

Swelling like this is not normal

I highly suggest you see your surgeon today for evaluation.  You may have a hematoma and while you may not, an in person evaluation is prudent.  Good luck!

Evan Sorokin, MD
Cherry Hill Plastic Surgeon
4.8 out of 5 stars 77 reviews

Breast Implants / Breast Augmentation/ Cohesive Gel Implants / Silicone Implants / Revision Breast Surgery

I appreciate your question.

Since there has been a change in your post op course, I would recommend that you follow up with your plastic surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

Is it normal for one breast to be more swollen than the other two weeks post op?

Thank you for your question.  The bruising on your right breast is quite severe.  If the breast feels incredibly tight with a lot of pressure and pain a hematoma or bleeding inside needs to be ruled out.

Please see her plastic surgeon for examination and possible ultrasound to make sure there is no bleeding inside the breast implant pocket.


I think that the most important thing to do right now is to be evaluated in person to make sure that you do not have a hematoma in the one breast which has been a problem. Best of luck.

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.