Is it normal to have a hard bruise 2 weeks after breast augmentation?

Question

I had breast augmentation 13 days ago.The incision was in my nipple with the implant placed behind my muscle. I have a bruise with a hard knot under it from my nipple down the bottom of my breast to the crease between my breast and stomach. Is that normal or is something wrong? I would call and ask my Dr. but more than likely they're going to tell me to come in and have it checked and his office is more than a hour away.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  For two weeks it appears that you had significant swelling from your procedure which may be contributing to your symptom as the tissue is stretched and taut.  That said it is important to rule out a discrete fluid collection like a hematoma.  I would advise seeing your surgeon for an in-person evaluation.  Best wishes.

Leila Kasrai, MD, FRCSC · Answer

Unfortunately, this is something that you would have to get your surgeon to examine. A bruise and hard knot that suddenly develops could be indication of a complication, and it’s safer for you that your surgeon is notified about your situation.

David Steckler, MD, FACS · Answer

Thank you for your photo and question.  You should most definitely return to see your surgeon.  You have invested money and time in your appearance and you owe it to yourself and your surgeon to be evaluated post operatively.  He or she can then determine whether you can be observed or if you need surgery to drain a hematoma.  Best of luck.

Mark E. Mason, MD · Answer

A hard bruise 13 days after breast augmentation is not something we ever dismiss in my practice. Please go in for an exam. If you have a hematoma, you might require a subsequent surgery. If you wait too long, you might increase your risk for capsular contracture in the future. Please see your surgeon. If you don't have a hematoma, you drove an hour for peace of mind.

Richard Greco, MD · Answer

If you have a question about your result - especially in the first few weeks - you should definitely ask your Surgeon.  They are the only ones whom knows what happen and what to expect.  If they ask you to come in, there is a reason - go.  Do not get your advice from the internet of friends.  You have to live with the result the est of your life.  You choose you surgeon for a reason - now trust him/her.

Is it normal to have a hard bruise 2 weeks after breast augmentation?

Answers (5)