Is my swelling in the right breast a concern? (Photo)

Question

4.5 weeks post op. 590cc. At 2 weeks post op experienced major constricting muscle spasms in right breast (pain, shortness of breathe, arm timgling, swelling and pain into armpit up to shoulder) Ultrasound didn't show fluid. I'm still very swollen on the right side. Tender. Dr is suggesting he can go back in to see if there is an issue (fluid); or wait a few more weeks and eventually any fluid can be absorbed. I'm a little concerned.

Daniel Barrett, MD · Answer

Dear golfgirl77,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Peter J. Capizzi, MD · Answer

what is also important is when did the upper fullness appear?  Is it new relative to the surgery?  Most fullness is expected and asymmetric with the other side as the breast is a gland and can be different related to muscle fullness, fluid, cycle, and activity.  After 7000 implants, most of what i see is related to post breast implant surgery swelling and resolves somewhere between 6 and 12 weeks.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. With large implants, there can be a significant amount of muscle spasm that can be severe. This can often take several months to settle completely and during that period, it can be normal for that to be asymmetrical. It is a good sign that the ultrasound was negative and perhaps it is time to repeat that to make sure that is still the case. If so, then it will probably be just a matter of time and you will need to be patient and keep in touch with your surgeon.Good luck!

Keith Denkler, MD · Answer

Your doctor is on target in working with you to solve this mystery.Great that the first ultrasound was negative.You likely will need another one to re-evaluate this problem.

Carlos Gonzalez Legarda, MD · Answer

With ultrasound, your doctor can know if there are fluid needing been drainaged or is just swelling.

Is my swelling in the right breast a concern? (Photo)

Answers (5)